KELLY NICOLE EVANOVICH PT, DPT, ATC
NPI 1114274313
Physical Therapist - Orthopedic in Wallingford, CT
NPI Status: Active since August 07, 2012
Contact Information
900 NORTHROP RD
WALLINGFORD, CT
ZIP 06492
Phone: (203) 949-1534
- Individual
- Female
- Physical Therapist
- Orthopedic
About KELLY EVANOVICH
This page provides the complete NPI Profile along with additional information for Kelly Evanovich, a provider established in Wallingford, Connecticut with a medical specialization in Physical Therapist, focusing in orthopedic . The healthcare provider is registered in the NPI registry with number 1114274313 assigned on August 2012. The practitioner's primary taxonomy code is 2251X0800X with license number 14.009513 (CT). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1114274313
- Provider Name
- KELLY NICOLE EVANOVICH PT, DPT, ATC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 900 NORTHROP RD WALLINGFORD, CT 06492
- Location Phone
- (203) 949-1534
- Mailing Address
- 64 GROVELAND TER NEWINGTON, CT 06111
- Mailing Phone
- (860) 798-0147
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-07-2012
- Last Update Date
- 08-07-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist Orthopedic
- Taxonomy Code
- 2251X0800X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 14.009513
- License State
- CT
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 7 | 4 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 7 | 8 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 7 + 8 + 3 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1114274313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1134158041 | DR. TERRENCE BUGAI M.D. Individual | Emergency Medicine | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
| 1225155369 | PAUL ACAMPORA M.D. Individual | Preventive Medicine (Occupational Medicine) | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
| 1982964599 | JACQUELINE E ANGLIN-DIXON PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 900 NORTHROP RD WALLINGFORD, CT 06492 (877) 274-7871 |
| 1134672652 | DAVID WHITE Individual | Physical Therapist | 900 NORTHROP RD STE, D WALLINGFORD, CT 06492 (203) 949-1534 |
| 1427347244 | VICTORIA IONE CANARY MPT Individual | Physical Therapist | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
| 1457478984 | JOHN MARK FARRELL P.A. Individual | Physician Assistant | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
| 1851418859 | KATHRYN M PAPADIKIS M.D. Individual | Preventive Medicine (Occupational Medicine) | 900 NORTHROP RD WALLINGFORD, CT 06492 (615) 778-4066 |
| 1891180246 | JOSE LEONARDO VILLA URIBE Individual | Emergency Medicine | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 294-9153 |
| 1386282119 | NICKOLAS DENUZZO PT, DPT Individual | Physical Therapist | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
| 1396158226 | JACQUELYNE MICHELLE GUERRA DNP, FNP-C Individual | Nurse Practitioner (Family) | 900 NORTHROP RD WALLINGFORD, CT 06492 (203) 949-1534 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114274313, enumerated in the NPI registry as an "individual" on August 07, 2012
The provider is located at 900 Northrop Rd Wallingford, Ct 06492 and the phone number is (203) 949-1534
The provider's speciality is Physical Therapist with taxonomy code 2251X0800X with a focus in Orthopedic
This NPI record was last updated on August 07, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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