Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Nicklis, DPT

Individual provider Physical Therapist · NPI 1790188654

Laura Nicklis, DPT is a Physical Therapist in Private Practice in Avon, Connecticut. Qualified in 2010, 16 years ago. Practices with Anb-Ptsma Holdings Inc, a 184-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
16
Licensed in
CT
In the registry since
2014
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

44 Dale Rd Ste 203
Avon, CT 06001-4315
Phone: (860) 674-1713
Fax: (860) 674-1848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8985 (CT)

Record details

NPI number1790188654
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 6, 2014
Last updated in NPPESJanuary 2, 2019
Mailing address47 N Main St, West Hartford, CT 06107-1926

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Anb-Ptsma Holdings Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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