Sandeep Arra
Individual provider Active NPI Physical Therapist · Niantic, CT
NPI 1083270664 · NPPES record last updated May 19, 2019
Key facts
- NPI
- 1083270664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 011254 (CT)
- Practice address
- 23 Liberty Way
Niantic, CT 06357-1030 - Phone
- (860) 691-5252
- NPI assigned
- May 19, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011254 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011254 | CT | Yes |
Addresses
Primary practice location
23 Liberty Way
Niantic, CT 06357-1030
Mailing address
211 Pomeroy Ave Apt 2308
Meriden, CT 06450-1700
Phone (469) 834-2379
Other providers in Niantic, CT
- Javier Alvarado
- Allura E Asebias
- B-VII Niantic LLC
- Margaret C Barili
- Kristin Barnhart
- Pamela Irene Bartolotta
All providers in Niantic, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.