Individual ProviderKevin L. RaffertyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address85 Barnes Rd, Ste 109, Wallingford, CT 06492-1832(203) 697-1067(203) 740-0020PECOS EnrollmentBased on the most recent information from CMS, provider Kevin L. Rafferty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1003858374Provider TypeIndividualFull NameRafferty, Kevin L.CredentialPTGenderMaleEnumeration Date6/12/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address85 Barnes Rd, Ste 109, Wallingford, CT 06492-1832Phone(203) 697-1067Fax(203) 284-0492Mailing LocationMailing Address31 Old Route 7, Brookfield, CT 06804-1714Phone(203) 740-0020Fax(203) 775-0238Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense004926Connecticut