OrganizationProhealth Physicians Physical TherapyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address950 Yale Ave, Suite 39, Wallingford, CT 06492-1858(203) 284-9646(860) 284-5200PECOS EnrollmentBased on the most recent information from CMS, provider Prohealth Physicians 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 ID1871770230Provider TypeOrganizationFull NameProhealth Physicians Physical TherapySubpartYesEnumeration Date1/29/2008Last Updated1/29/2008Contact InformationPractice LocationPractice Address950 Yale Ave, Suite 39, Wallingford, CT 06492-1858Phone(203) 284-9646Fax(203) 284-9865Mailing LocationMailing Address4 Farm Springs Rd, Farmington, CT 06032-2573Phone(860) 284-5200Fax(860) 284-5333Authorized OfficialNameBarnard, Tim (Sr. Vp Ancillary Services)Phone(860) 284-5200Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer