KELLY NICOLE EVANOVICH (PT, DPT, ATC) – Orthopedic Physical Therapist, NPI 1114274313

KELLY NICOLE EVANOVICH (PT, DPT, ATC) is a healthcare provider. based in Newington, Connecticut. specializing in Orthopedic Physical Therapist. They hold the professional credentials PT, DPT, ATC. They hold a License No. 14.009513 (CT). The NPI Number for KELLY NICOLE EVANOVICH (PT, DPT, ATC) is 1114274313

Main info

Female
Name
KELLY NICOLE EVANOVICH (PT, DPT, ATC)
NPI
1114274313
Phone
(860) 798-0147
Address
64 GROVELAND TER
Enumeration Date
7 August 2012
Last Update Date
7 August 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for KELLY NICOLE EVANOVICH (PT, DPT, ATC)

  • 64 GROVELAND TER

    NEWINGTON, CT 061111614

    Phone: (860) 798-0147

    Type: Mailing

  • 900 NORTHROP RD

    WALLINGFORD, CT 064921997

    Phone: (203) 949-1534

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06111)

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Frequently asked questions

How do I look up KELLY NICOLE EVANOVICH (PT, DPT, ATC) by NPI?
Use NPI 1114274313 when you need to reference KELLY NICOLE EVANOVICH (PT, DPT, ATC) in forms, claims, or directories.
Is KELLY NICOLE EVANOVICH (PT, DPT, ATC) active in the national directory?
KELLY NICOLE EVANOVICH (PT, DPT, ATC)'s public NPI profile is in an active state.
What does KELLY NICOLE EVANOVICH (PT, DPT, ATC) treat or focus on?
Patients typically see KELLY NICOLE EVANOVICH (PT, DPT, ATC) under the specialty Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KELLY NICOLE EVANOVICH (PT, DPT, ATC)'s primary listing?
We display Newington, Connecticut because that is what the record indicates for KELLY NICOLE EVANOVICH (PT, DPT, ATC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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