| Shannon Hickey, DPT | |
|
15 Riverside Avenue, Bristol, CT 06010 | |
| (508) 468-7682 | |
| Not Available |
| Full Name | Shannon Hickey |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Orthopedic |
| Location | 15 Riverside Avenue, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114595857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 012309 (Connecticut) | Primary |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Provider Name | Madison Rehabilitation Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750350245 PECOS PAC ID: 8628051299 Enrollment ID: O20210119000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Hickey, DPT 53 Parker St Apt D106, Wallingford, CT 06492-2375 Ph: (508) 468-7682 | Shannon Hickey, DPT 15 Riverside Avenue, Bristol, CT 06010 Ph: (508) 468-7682 |
Laurel A Whalen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Farmington Ave, Suite 102, Bristol, CT 06010 Phone: 860-582-8024 Fax: 860-585-0609 | |
Nicole M Dolan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 72 Pine St, Bristol, CT 06010 Phone: 860-585-5800 Fax: 860-585-5840 | |
Carol G Duprey, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 89 Fair St, Bristol, CT 06010 Phone: 860-940-5196 | |
Aline Mellon, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 842 Clark Ave, Bristol, CT 06010 Phone: 860-582-9355 | |
Amy Jo Sheketoff, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 641 Clark Ave, Bristol, CT 06010 Phone: 860-582-0389 Fax: 860-582-3607 | |
Joanne Lombardo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 842 Clark Ave, Bristol, CT 06010 Phone: 860-582-9355 |