GRETCHEN PETTINICO PT
NPI 1063602712
Physical Therapist - Pediatrics in Waterbury, CT

Active since July 30, 2007
1389 W MAIN ST STE 225, WATERBURY, CT 06708(203) 757-1474(203) 757-1474 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gretchen Pettinico Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRETCHEN PETTINICO PT (NPI 1063602712) is an individual pediatrics provider in Waterbury, Connecticut, licensed in Connecticut (6403) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1063602712
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameGRETCHEN PETTINICOCredential: PT
Location Address1389 W MAIN ST STE 225Waterbury, CT 06708-3115
Mailing Address1389 W Main St Ste 225Waterbury, CT 06708-3115 · (203) 757-1474 · Fax (203) 757-1474
Fax(203) 757-1474
Sole ProprietorNo
Enumeration DateJuly 30, 2007
NPI 1063602712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in CT · 6403
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1389 W MAIN ST STE 225, Waterbury, CT 06708

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Early Intervention Provider Agency
1389 W MAIN ST STE 225
WATERBURY, CT 06708
Speech-Language Pathologist
1389 W MAIN ST STE 225
WATERBURY, CT 06708
Physical Therapist (Pediatrics)
1389 W MAIN ST STE 225
WATERBURY, CT 06708
Occupational Therapist
1389 W MAIN ST STE 225
WATERBURY, CT 06708
Occupational Therapist (Pediatrics)
1389 W MAIN ST STE 225
WATERBURY, CT 06708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Pettinico's NPI number?

The NPI number for Gretchen Pettinico is 1063602712. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Gretchen Pettinico located?

Gretchen Pettinico practices at 1389 W Main St Ste 225, Waterbury, CT 06708. The listed phone number is (203) 757-1474.

What is Gretchen Pettinico's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Gretchen Pettinico was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.