Kenneth James McNeil, PTA
Individual provider Active NPI Physical Therapy Assistant · Westbrook, CT
NPI 1295537967 · NPPES record last updated Mar 25, 2025
Key facts
- NPI
- 1295537967
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 001500 (CT)
- Practice address
- 4 Grove Beach Rd N Ste 2
Westbrook, CT 06498-1656 - Phone
- (860) 347-7636
- Fax
- (860) 894-1894
- NPI assigned
- Mar 25, 2025
- 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 |
|---|---|---|---|
| 001500 | CT | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 001500 | CT | Yes |
Addresses
Primary practice location
4 Grove Beach Rd N Ste 2
Westbrook, CT 06498-1656
Mailing address
4 Grove Beach Rd N Ste 2
Westbrook, CT 06498-1656
Phone (941) 536-1877
Other providers in Westbrook, CT
- Macdara Maccoll
- Christopher L. Martin
- Julie Martin
- William Mattison
- Andrea Matunas
- MHS Primary Care Inc.
- MHS Primary Care, Inc.
- Middlesex Hospital
- Middlesex Orthopedic Surgeons,P.C.
- Ellen Marie Morris-White
All providers in Westbrook, CT · Physical Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2025. 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.