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KELLY NICOLE EVANOVICH PT, DPT, ATC
NPI 1114274313
Physical Therapist - Orthopedic in Wallingford, CT

Active since August 07, 2012
900 NORTHROP RD, WALLINGFORD, CT 06492(203) 949-1534 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Nicole Evanovich Pt, Dpt, Atc NPPES

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

KELLY NICOLE EVANOVICH PT, DPT, ATC (NPI 1114274313) is an individual orthopedic provider in Wallingford, Connecticut, licensed in Connecticut (14.009513) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1114274313
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameKELLY NICOLE EVANOVICHCredential: PT, DPT, ATC
Location Address900 NORTHROP RDWallingford, CT 06492-1997
Mailing Address64 Groveland TerNewington, CT 06111-1614 · (860) 798-0147
Phone(203) 949-1534
Sole ProprietorNo
Enumeration DateAugust 7, 2012
✔ NPI 1114274313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CT · 14.009513
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
900 NORTHROP RD, Wallingford, CT 06492
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Other Providers at the Same Location NPPES 11

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

DR. TERRENCE BUGAI M.D.
Emergency Medicine
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
DAVID WHITE
Physical Therapist
900 NORTHROP RD, STE, D
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
PAUL ACAMPORA M.D.
Preventive Medicine (Occupational Medicine)
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
NICKOLAS DENUZZO PT, DPT
Physical Therapist
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
JACQUELYNE MICHELLE GUERRA DNP, FNP-C
Nurse Practitioner (Family)
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
VICTORIA IONE CANARY MPT
Physical Therapist
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
JOHN MARK FARRELL P.A.
Physician Assistant
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 949-1534
KATHRYN M PAPADIKIS M.D.
Preventive Medicine (Occupational Medicine)
900 NORTHROP RD
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (615) 778-4066

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 Kelly Evanovich's NPI number?

The NPI number for Kelly Evanovich is 1114274313. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Kelly Evanovich located?

Kelly Evanovich practices at 900 Northrop Rd, Wallingford, CT 06492. The listed phone number is (203) 949-1534.

What is Kelly Evanovich's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Kelly Evanovich was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.