Shelly Lynn Ceceri, LPTA
Individual provider Active NPI Physical Therapy Assistant · Colchester, CT
NPI 1417166232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1417166232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 000141 (CT)
- Practice address
- 59 Harirington Court
Colchester, CT 06415 - Phone
- (860) 537-2339
- NPI assigned
- May 21, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000141 | CT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 000141 | CT | Yes |
Addresses
Primary practice location
59 Harirington Court
Colchester, CT 06415
Mailing address
144 Daniel Peck Rd.
East Haddam, CT 06423
Phone (860) 873-1966
Other providers in Colchester, CT
- Mark Cahill
- Linda Sue Caley
- Casey Chiropractic, Inc.
- Aaron C Casey
- Emily Casey
- Victoria Christiansen
- Jacob Chwiedz
- Michael Angelo Ciotto Jr.
- Elizabeth Clarkin
- Cleomeni Home Care Agency LLC
All providers in Colchester, 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 Jul 8, 2007. 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.