Audra P Ricci, PT | |
485 Hartford Rd, Ste B, Manchester, CT 06040-4869 | |
(860) 646-1561 | |
Not Available |
Full Name | Audra P Ricci |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 485 Hartford Rd, Manchester, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700802063 | NPI | - | NPPES |
650001233 | Other | CT | MEDICARE PTAN |
ANTHEM | Other | 080005548CT11 | |
004210457 | Medicaid | CT | |
5511600 | Other | AETNA INDIV PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 005548 (Connecticut) | Primary |
Provider Name | Pinnacle Rehabilitation Network Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134210115 PECOS PAC ID: 7618872086 Enrollment ID: O20041217000083 |
Mailing Address | Practice Location Address |
---|---|
Audra P Ricci, PT 73 Newton Rd, Ste 101, Plaistow, NH 03865-2424 Ph: (978) 388-7272 | Audra P Ricci, PT 485 Hartford Rd, Ste B, Manchester, CT 06040-4869 Ph: (860) 646-1561 |
Mr. Andrew K Sokolski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 Deming St, Manchester, CT 06042 Phone: 631-379-7684 Fax: 860-432-0815 | |
Paul Robert Zelinsky, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 35 Woodstock Dr, Manchester, CT 06042 Phone: 860-646-8229 Fax: 860-533-4671 | |
John Knecht, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 360 Tolland Tpke, Suite 2e, Manchester, CT 06042 Phone: 860-643-5317 | |
Christine M Knight, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 586 Middle Tpke E, Manchester, CT 06040 Phone: 860-645-3810 Fax: 860-645-3814 | |
Jennifer Neri, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 71 Haynes St, Manchester, CT 06040 Phone: 860-647-6485 | |
Mallory Franklin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 252 N. Main Street, Manchester, CT 06042 Phone: 860-643-3562 Fax: 860-643-3565 | |
Caitlyn Lee Carpenter, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 515 Middle Tpke W, Manchester, CT 06040 Phone: 860-533-4480 Fax: 860-643-9057 |