Healthcare Provider Details

I. General information

NPI: 1194324665
Provider Name (Legal Business Name): FRANCESCA CHIRICO ATC, LAT, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2020
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date: 05/04/2024
Reactivation Date: 05/23/2024

III. Provider practice location address

1111 CROMWELL AVE STE 404
ROCKY HILL CT
06067-3455
US

IV. Provider business mailing address

25 BERWYN ST FL 1
SOUTH HADLEY MA
01075-1801
US

V. Phone/Fax

Practice location:
  • Phone: 860-525-4469
  • Fax:
Mailing address:
  • Phone: 845-800-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6984
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number1517
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number3423
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: