Heather Avery
Individual provider Active NPI Physical Therapist · Hartford, CT
NPI 1447859152 · NPPES record last updated Oct 23, 2020
Key facts
- NPI
- 1447859152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 705 New Britain Ave
Hartford, CT 06106-4039 - Phone
- (860) 953-1201
- NPI assigned
- Oct 23, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
705 New Britain Ave
Hartford, CT 06106-4039
Mailing address
705 New Britain Ave
Hartford, CT 06106-4039
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. 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.