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KELLY PROULX PT
NPI 1417336025
Physical Therapist - Pediatrics in Avon, CT

Active since May 28, 2015
49 W MAIN ST, AVON, CT 06001(860) 284-9779(860) 409-2190 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Proulx Pt NPPES

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

KELLY PROULX PT (NPI 1417336025) is an individual pediatrics provider in Avon, Connecticut, licensed in Connecticut (009332) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1417336025
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameKELLY PROULXCredential: PT
Location Address49 W MAIN STAvon, CT 06001-3717
Mailing Address49 W Main StAvon, CT 06001-3717 · (860) 284-9779 · Fax (860) 409-2190
Phone(860) 284-9779
Fax(860) 409-2190
Sole ProprietorNo
Enumeration DateMay 28, 2015
✔ NPI 1417336025 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 · 009332
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.
49 W MAIN ST, Avon, CT 06001
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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.

DR. PARI SHAH OD
Optometrist
49 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 676-2376
SAPORA TURENSHINE
Speech-Language Pathologist
49 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 284-9779
LAUREN COUGHLIN OTR/L
Occupational Therapist (Pediatrics)
49 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 284-9779
JESSICA TUTHILL OTR/L
Occupational Therapist
49 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 284-9779
MS. SUSAN ELLEN CAREY MS, OTR/L
Occupational Therapist
49 W MAIN ST
AVON, CT 06001
Capitol Planning Region (860) 284-9779

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 Proulx's NPI number?

The NPI number for Kelly Proulx is 1417336025. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Kelly Proulx located?

Kelly Proulx practices at 49 W Main St, Avon, CT 06001. The listed phone number is (860) 284-9779.

What is Kelly Proulx'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 Kelly Proulx was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.