| Shean Nicole Caballero Jacot, | |
|
804 E Main St, Stamford, CT 06902-3832 | |
| (475) 222-1698 | |
| Not Available |
| Full Name | Shean Nicole Caballero Jacot |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 804 E Main St, Stamford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114796182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 013572 (Connecticut) | Primary |
| Provider Name | Sportsmed Pt Of Connecticut Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609441534 PECOS PAC ID: 5395134852 Enrollment ID: O20211123000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Shean Nicole Caballero Jacot, 1 Greyrock Pl, Stamford, CT 06901-3155 Ph: () - | Shean Nicole Caballero Jacot, 804 E Main St, Stamford, CT 06902-3832 Ph: (475) 222-1698 |
Mrs. Carla Cuccia, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1281 E Main St, Stamford, CT 06902 Phone: 203-325-4087 Fax: 203-359-9941 | |
Mrs. Sneha Gosalia, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Adams Ave, Unit 404, Stamford, CT 06902 Phone: 914-419-9382 | |
Pranna Physical Therapy And Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 125 Strawberry Hill Ave, Suite 102, Stamford, CT 06902 Phone: 732-690-0879 | |
Ines Dodge, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Buxton Farm Rd Ste 230, Stamford, CT 06905 Phone: -- | |
Ms. Deborah H. Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Southfield Ave Apt 1212, Stamford, CT 06902 Phone: 860-280-6748 | |
Mrs. Elizabeth Guia Klumac, PT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 Fairfield Ave, Stamford, CT 06902 Phone: 203-359-0001 | |
Jennifer C Morton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1180 Newfield Ave, Stamford, CT 06905 Phone: 314-888-5233 |