Melissa Begley

Individual provider Active NPI Physical Therapy Assistant · South Windsor, CT

NPI 1104594563 · NPPES record last updated Sep 1, 2021

Key facts

NPI
1104594563
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
000605 (CT)
Practice address
213 Long Hill Rd
South Windsor, CT 06074-4214
Phone
(860) 922-0602
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
000605CTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 000605 CT Yes

Addresses

Primary practice location

213 Long Hill Rd
South Windsor, CT 06074-4214

Mailing address

213 Long Hill Rd
South Windsor, CT 06074-4214
Phone (860) 922-0602

Other providers in South Windsor, CT

All providers in South Windsor, CT · Physical Therapy Assistant in Connecticut

Sources for this page

Verify at the official NPI Registry.