LAURA NICKLIS DPT
NPI 1790188654
Physical Therapist in Avon, CT

Active since October 06, 2014Accepts Medicare Assignment
44 DALE RD, SUITE 203, AVON, CT 06001(860) 674-1713(860) 674-1848 Get Directions Write a Review

NPPES record last updated: January 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1790188654
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameLAURA NICKLISCredential: DPT
Location Address44 DALE RD, SUITE 203Avon, CT 06001-4315
Mailing Address47 N Main StWest Hartford, CT 06107-1926 · (860) 409-4595 · Fax (860) 409-4860
Fax(860) 674-1848
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 6, 2014
Last NPPES UpdateJanuary 2, 2019
✔ NPI 1790188654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CT · 8985
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
44 DALE RD, Avon, CT 06001

Other Names 1

Former Name (1)Laura Gallant Dpt

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.

PECOS PAC ID3971825878
PECOS Enrollment IDI20141204000044

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.

Physical Therapist
47 N MAIN ST
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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
467 services45 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
440 services47 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
226 services34 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
163 services26 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
149 services22 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
21 services21 patients

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.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
44 DALE RD, SUITE 203
AVON, CT 06001
Physical Therapist
44 DALE RD
AVON, CT 06001
Dentist (General Practice)
44 DALE RD
AVON, CT 06001
Internal Medicine (Gastroenterology)
44 DALE RD, PRIME HEALTHCARE
AVON, CT 06001
Dentist (Orthodontics and Dentofacial Orthopedics)
44 DALE RD
AVON, CT 06001
Dentist (General Practice)
44 DALE RD
AVON, CT 06001
Nurse Practitioner (Family)
44 DALE RD
AVON, CT 06001
Internal Medicine (Gastroenterology)
44 DALE RD, PRIME HEALTHCARE
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.