Kyle Wolf (NPI# 1023663069, PAC ID# 1759618028) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1023663069 |
| PAC ID by PECOS | 1759618028 |
| Professional Enrollment ID | I20190808002823 |
| Full Name | Kyle Wolf |
| Organization Legal Name | ANB-PTSMA HOLDINGS INC |
| Address |
64 Market Sq Newington CT 06111-2911 |
| Phone Number | 8608812928 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789572926 |
| Number of Group Practice Members | 104 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 64 Market Sq, Newington, CT 06111-2911 | 8608812928 | ANB-PTSMA HOLDINGS INC |
| Organization Legal Name | ANB-PTSMA HOLDINGS INC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Blanusa | Physical Therapy | Anb-ptsma Holdings Inc | 100 Prospect St, Suite 116, Naugatuck, CT 06770-3040 |
| Shradha Rana | Physical Therapy | Anb-ptsma Holdings Inc | 134 Main St Ext, Suite 100, Middletown, CT 06457-3813 |
| Tyler Naef | Physical Therapy | Anb-ptsma Holdings Inc | 201 W High St, Unit A2, East Hampton, CT 06424-2138 |
| Thomas Kirsch | Physical Therapy | Anb-ptsma Holdings Inc | 44 Dale Rd, Avon, CT 06001-4315 |
| Marileni Brisita | Physical Therapy | Anb-ptsma Holdings Inc | 635 Broad St, New London, CT 06320-2543 |
| Zachary J Currie | Physical Therapy | Anb-ptsma Holdings Inc | 385 Church St, Guilford, CT 06437-6003 |
| Rebecca L Petrosino | Physical Therapy | Anb-ptsma Holdings Inc | 760 Main St S, Suite D, Southbury, CT 06488-4248 |
| Miranda Jasienowski | Physical Therapy | Anb-ptsma Holdings Inc | 481 Gold Star Hwy, Suite 302, Groton, CT 06340-6703 |
| Brian Greer | Physical Therapy | Anb-ptsma Holdings Inc | 27 Depot St, Watertown, CT 06795-2601 |
| Eric Horne | Physical Therapy | Anb-ptsma Holdings Inc | 97 Barnes Rd, Wallingford, CT 06492-1885 |
| Street Address |
64 MARKET SQ |
| City | NEWINGTON |
| State | CT |
| Zip | 06111-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa Griffo | Physical Therapy | Anb-ptsma Holdings Inc | 64 Market Sq, Newington, CT 06111-2911 |
| Jillian Cristaldi | Physical Therapy | Anb-ptsma Holdings Inc | 64 Market Sq, Newington, CT 06111-2911 |
| Joseph Allen | Physical Therapy | Anb-ptsma Holdings Inc | 64 Market Sq, Newington, CT 06111-2911 |
| Thomas O Kassan | Physical Therapy | Anb-ptsma Holdings Inc | 64 Market Sq, Newington, CT 06111-2911 |
| Christina Mogelnicki | Physical Therapy | Anb-ptsma Holdings Inc | 64 Market Sq, Newington, CT 06111-2911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana S Digiacomo-canellas | Clinical Social Worker | 705 N Mountain Rd, Suite C203, Newington, CT 06111-1432 | |
| Joel Roffer | Optometry | Myeyedr Optometry of Connecticut, LLC | 38 Fenn Rd, Newington, CT 06111-2212 |
| Cassandra Ruth Young | Optometry | Myeyedr. Optometry of Connecticut, LLC | 38 Fenn Rd, Newington, CT 06111-2212 |
| Dylan Fallis | Physical Therapy | Focus Physical Therapy and Sports Medicine LLC | 190 Fenn Rd, Newington, CT 06111-2244 |
| Brian R Wally | Physical Therapy | Focus Physical Therapy and Sports Medicine LLC | 190 Fenn Rd, Newington, CT 06111-2244 |
| Carmen Stelea | Internal Medicine | Starling Physicians PC | 375 Willard Ave, Newington, CT 06111-2300 |
| Jeffrey M Kagan | Internal Medicine | Newington Internal Medicine Primary Care LLP | 365 Williard Ave, Suite 2d, Newington, CT 06111-2316 |
| Stuart C Calle | Emergency Medicine | 365 Willard Ave, 2e, Newington, CT 06111-2316 | |
| Turgut Yetil | Internal Medicine | Newington Internal Medicine Primary Care LLP | 365 Williard Ave, Suite 2d, Newington, CT 06111-2316 |
| Stacie L Zibel | Nurse Practitioner | Newington Internal Medicine Primary Care LLP | 365 Williard Ave, Suite 2d, Newington, CT 06111-2316 |
| Find all physicians in zip 06111 | |||
| City | NEWINGTON |
| Zip Code | 06111 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEWINGTON + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.