Healthcare Provider Details

I. General information

NPI: 1841175080
Provider Name (Legal Business Name): NICHOLAS CIPRIANI DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 BROAD ST STE 3
MILFORD CT
06460-3273
US

IV. Provider business mailing address

247 BROAD ST STE 3
MILFORD CT
06460-3273
US

V. Phone/Fax

Practice location:
  • Phone: 203-693-3754
  • Fax: 203-283-3908
Mailing address:
  • Phone: 203-693-3754
  • Fax: 203-283-3908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number15036
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: