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NPI Code Detail

MEDICARE: MORGAN MARTELLIO

MEDICARE:   MORGAN  MARTELLIO
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
1225100000XPhysical Therapist15356CT

General Provider Information

NPI Number : 1043156441
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN MARTELLIO
Provider Business Mailing Address
First Line : 1257 JOHN FITCH BLVD UNIT 1A-B
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2441
Country : US
Telephone Number : 860-785-8125
Fax Number :
Provider Business Practice Location Address
First Line : 1257 JOHN FITCH BLVD UNIT 1A-B
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-2441
Country : US
Telephone Number : 860-785-8125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ MORGAN MARTELLIO ” Practice Location

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