OrganizationWallingford Physical TherapyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address350 Center St, Suite 104, Wallingford, CT 06492-4243(203) 265-2500PECOS EnrollmentBased on the most recent information from CMS, provider Wallingford Physical Therapy 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 ID1417176462Provider TypeOrganizationFull NameWallingford Physical TherapySubpartNoEnumeration Date4/25/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address350 Center St, Suite 104, Wallingford, CT 06492-4243Phone(203) 265-2500Fax(203) 265-9222Mailing LocationMailing Address350 Center St, Suite 104, Wallingford, CT 06492-4243Phone(203) 265-2500Fax(203) 265-9222Authorized OfficialNameVaughan, Lynn (Owner)Phone(203) 265-2500Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense001746Connecticut