MEDICARE: CANTON PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist
2	225100000X	Physical Therapist		CT

General Provider Information

NPI Number	:	1649493644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CANTON PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 466
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019
Country	:	US
Telephone Number	:	860-693-6226
Fax Number	:	860-693-8002

Provider Business Practice Location Address
First Line	:	65 ALBANY TPKE
Second Line	:
City	:	CANTON
State	:	CT
Zip	:	06019-2507
Country	:	US
Telephone Number	:	860-693-6226
Fax Number	:	860-693-8002

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. RACHEL E DEVLIN
Credential	:
Telephone Number	:	860-693-6226

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	03/03/2015

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1124000716 — JEANNE MARIE DAUBERT DPT
Practice Location Address:

65 ALBANY TPKE , SUITE A
CANTON, CT
06019-2507

Practice Phone: 860-693-6226
Practice Fax: 860-693-8002

1962515296 — PAULA M WEBSTER PT
Practice Location Address:

65 ALBANY TPKE , SUITE A
CANTON, CT
06019-2507

Practice Phone: 860-693-6226
Practice Fax: 860-693-8002

1710128830 — GLEN ANGERS PT
Practice Location Address:

65 ALBANY TPKE
CANTON, CT
06019-2507

Practice Phone: 860-693-6226
Practice Fax: 860-693-8002

1801024476 — JOHN KOUCH M.D.
Practice Location Address:

117 ALBANY TPKE
CANTON, CT
06019-2507

Practice Phone: 860-658-3444
Practice Fax: 860-658-3458

1013145101 — KIPP EDWARD VANMETER DO
Practice Location Address:

117 ALBANY TPKE
CANTON, CT
06019-2507

Practice Phone: 860-658-3444
Practice Fax: 860-658-3458

Directions to “CANTON PHYSICAL THERAPY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.