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

Michelle Desousa

Individual provider Physical Therapist · NPI 1912443649

Michelle Desousa is a Physical Therapist in Private Practice in New London, Connecticut. Qualified in 2016, 10 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2017
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Practice location Address checks out

31 Vauxhall St
New London, CT 06320-5723
Phone: (860) 442-4363
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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 010830 (CT)

Record details

NPI number1912443649
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 19, 2017
Last updated in NPPESJune 28, 2023
Mailing address31 Vauxhall St, New London, CT 06320-5723

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New London