LAURA NICKLIS DPT
NPI 1790188654
Physical Therapist in Avon, CT
About Laura Nicklis Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA NICKLIS DPT (NPI 1790188654) is an individual physical therapist in Avon, Connecticut, licensed in Connecticut (8985) and active in the NPI registry since October 2014. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Laura Nicklis Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Laura Nicklis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Hartford, CT 06107
- Reassigned Medicare billing, Connecticut enrollment
- 212 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AVON, CT 06001
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 Laura Nicklis's NPI number?
The NPI number for Laura Nicklis is 1790188654. It was assigned to this individual provider in the NPPES registry on October 6, 2014. The provider is also known as Laura Gallant Dpt.
Where is Laura Nicklis located?
Laura Nicklis practices at 44 Dale Rd Suite 203, Avon, CT 06001. The listed phone number is (860) 674-1713.
What is Laura Nicklis's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Laura Nicklis enrolled in Medicare?
Yes. Laura Nicklis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Laura Nicklis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Nicklis reassigns Medicare benefits to Anb-Ptsma Holdings, Inc. (West Hartford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Nicklis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laura Nicklis was last updated on January 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.