Paul G Knecht, PHYSICAL THERAPIST
Individual provider Active NPI Physical Therapist · New Britian, CT
NPI 1790738581 · NPPES record last updated Apr 28, 2020
Key facts
- NPI
- 1790738581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 002450 (CT)
- Practice address
- Cora - 136 West Main Street
1St Floor
New Britian, CT 06052-1315 - Phone
- (860) 826-4763
- Fax
- (860) 826-4765
- NPI assigned
- May 19, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002450 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002450 | CT | Yes |
Addresses
Primary practice location
Cora - 136 West Main Street
1St Floor
New Britian, CT 06052-1315
Mailing address
Cora - 136 West Main Street
1St Floor
New Britian, CT 06052-1315
Phone (860) 826-4763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080002450CT05 | Other | CT | BC&BS |
Other providers in New Britian, CT
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- Gail M Hughes
- David Anthony Mancini
- Susan E Mandel
- Teresa C Works
- Amy Eileen Yazmer
All providers in New Britian, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 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.