Individual ProviderElena KelleherPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address860 N Main Street Ext, Wallingford, CT 06492-2449(203) 793-7592(860) 409-4595PECOS EnrollmentBased on the most recent information from CMS, provider Elena Kelleher 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 ID1700514684Provider TypeIndividualFull NameKelleher, ElenaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date8/9/2022Last Updated2/21/2025Contact InformationPractice LocationPractice Address860 N Main Street Ext, Wallingford, CT 06492-2449Phone(203) 793-7592FaxUnlisted FaxMailing LocationMailing Address47 N Main St, West Hartford, CT 06107-1926Phone(860) 409-4595FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense13662Connecticut