Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Nicole Evanovich, PT, DPT, ATC

Individual provider Orthopedic Physical Therapist · NPI 1114274313

Kelly Nicole Evanovich, PT, DPT, ATC is an Orthopedic Physical Therapist in Wallingford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

900 Northrop Rd
Wallingford, CT 06492-1997
Phone: (203) 949-1534
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 14.009513 (CT)

Record details

NPI number1114274313
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012

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