Individual ProviderKevin PrattPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360(203) 265-0018(914) 294-4050PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Pratt 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 ID1386815843Provider TypeIndividualFull NamePratt, KevinTitleMr.CredentialPTGenderMaleSole ProprietorNoEnumeration Date3/12/2008Last Updated2/4/2021Contact InformationPractice LocationPractice Address101 N Plains Industrial Rd, Wallingford, CT 06492-2360Phone(203) 265-0018Fax(203) 265-4368Mailing LocationMailing Address1377 Motor Pkwy Ste 307, Islandia, NY 11749-5258Phone(914) 294-4050Fax(631) 760-8306Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006164ConnecticutCode2251N0400XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006164ConnecticutCode2251X0800XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense006164Connecticut