Individual ProviderNickolas DenuzzoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 Northrop Rd, Wallingford, CT 06492-1997(203) 949-1534PECOS EnrollmentBased on the most recent information from CMS, provider Nickolas Denuzzo 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 ID1386282119Provider TypeIndividualFull NameDenuzzo, NickolasCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date12/11/2019Last Updated12/11/2019Contact InformationPractice LocationPractice Address900 Northrop Rd, Wallingford, CT 06492-1997Phone(203) 949-1534FaxUnlisted FaxMailing LocationMailing Address39 Cawfield Ln, Melville, NY 11747-1637PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12534Connecticut