Andria Lynn Hotchkiss, PT

Individual provider Active NPI Physical Therapist · Winsted, CT

NPI 1174565394 · NPPES record last updated Nov 21, 2013

Key facts

NPI
1174565394
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
004791 (CT)
Practice address
115 Spencer St
Winsted, CT 06098-1140
Phone
(860) 738-5810
Fax
(860) 738-5820
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
004791CTMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004791 CT Yes

Addresses

Primary practice location

115 Spencer St
Winsted, CT 06098-1140

Mailing address

115 Spencer St
Winsted, CT 06098-1140
Phone (860) 738-5810

Other identifiers

IdentifierTypeStateIssuer
004209765MedicaidCT
004791OtherCTPHYSICAL THERAPIST LICENS

Other providers in Winsted, CT

All providers in Winsted, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.