KELLY PROULX (NPI# 1417336025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417336025 |
| Entity Type | Individual |
| Full Name | KELLY PROULX |
| Credential | PT |
| Practice Address |
49 W Main St Avon CT 06001-3717 |
| Practice Telephone | 8602849779 |
| Practice Fax Number | 8604092190 |
| Mailing Telephone | 8602849779 |
| Mailing Fax Number | 8604092190 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
009332 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
49 W MAIN ST |
| City | AVON |
| State | CT |
| Zip Code | 06001-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396860672 | Lauren Coughlin | Occupational Therapist | 49 W Main St, Avon, CT 06001-3717 | 2007-03-19 |
| 1013555226 | Pari Shah | Optometrist | 49 W Main St, Avon, CT 06001-3717 | 2019-12-18 |
| 1841663788 | Susan Ellen Carey | Occupational Therapist | 49 W Main St, Avon, CT 06001-3717 | 2015-10-31 |
| 1528443926 | Jessica Tuthill | Occupational Therapist | 49 W Main St, Avon, CT 06001-3717 | 2015-07-27 |
| 1386028678 | Sapora Turenshine | Speech-Language Pathologist | 49 W Main St, Avon, CT 06001-3717 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700210846 | Stacie Lynn Borrousch | Physical Therapist | 1494 Laurel Oak Dr, Avon, IN 46123-9480 | 2013-08-26 |
| 1790942530 | Alescia C Ford-lanza | Physical Therapist | 37 Oak Ridge Dr, Avon, CT 06001-2213 | 2008-05-20 |
| 1750413761 | Lenore L. Delamarter | Physical Therapist | 6310 Springwater Ct, Avon, IN 46123-7264 | 2007-03-12 |
| 1831376854 | Cynthia Ann Dougher | Physical Therapist | 35840 Chester Rd, Suite F, Avon, OH 44011-1240 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| 1770195190 | Garrett Graham | Physical Therapist | 400 Blake St Apt 4117, New Haven, CT 06515-4419 | 2020-08-18 |
| 1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
| 1346784568 | Tali Faber | Physical Therapist | 3 Baldwin Pl, Westport, CT 06880-4024 | 2016-12-07 |
| 1912313511 | Stretch Pediatric Therapy and Creative Movement Studio, LLC | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-07-03 |
| 1780934059 | Kasie-lynne Martin | Physical Therapist | 209 Cherry Street, Milford, CT 06460 | 2012-09-14 |
| 1629350103 | Arsenio Paez | Physical Therapist | 63 Reynolds Dr, Fairfield, CT 06824-4600 | 2011-09-12 |
| 1699089250 | Robert Marotti | Physical Therapist | 216 Fairfield Beach Rd, Fairfield, CT 06824-6842 | 2010-08-05 |
| 1417276684 | Carol B. Walcott | Physical Therapist | 25 Ashford Ln, Newtown, CT 06470-1740 | 2010-05-26 |
| 1386968725 | Lenore Rokosa Robillard | Physical Therapist | 42 Posa Dr, Bristol, CT 06010-5476 | 2010-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.