Healthcare Provider Details

I. General information

NPI: 1912840448
Provider Name (Legal Business Name): EMILY PARKES PELVIC HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 E MAIN ST
AVON CT
06001-3848
US

IV. Provider business mailing address

20 E MAIN ST
AVON CT
06001-3848
US

V. Phone/Fax

Practice location:
  • Phone: 860-759-9093
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILY CLAUSI
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 860-590-3394