Healthcare Provider Details

I. General information

NPI: 1346198165
Provider Name (Legal Business Name): KRISTEN MARIE NORRGARD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 RIVER RD
COS COB CT
06807-2759
US

IV. Provider business mailing address

24 DAVIS DR
ARMONK NY
10504-3005
US

V. Phone/Fax

Practice location:
  • Phone: 203-422-0679
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15321
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: