Kirstin Lane, PT | |
101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 | |
(860) 741-2541 | |
(860) 745-5264 |
Full Name | Kirstin Lane |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 101 Phoenix Ave, Enfield, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871727750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 008525 (Connecticut) | Primary |
Provider Name | Dg Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1295279198 PECOS PAC ID: 0143503680 Enrollment ID: O20170208000911 |
Mailing Address | Practice Location Address |
---|---|
Kirstin Lane, PT 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 Ph: (860) 741-2541 | Kirstin Lane, PT 101 Phoenix Ave, Suite 2d, Enfield, CT 06082-4471 Ph: (860) 741-2541 |
Susan H Davis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Christian Morini, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196 Fax: 860-253-5197 | |
Mr. Zachary Demers, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Scott Elms, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Milan Dipakkumar Patel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 935 Enfield St, Enfield, CT 06082 Phone: 832-488-3234 | |
Erin Gaskell, DPT, MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Adam Nathaniel Majka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Hazard Ave, Enfield, CT 06082 Phone: 860-265-2571 |