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

Mr. Kevin M Connellan, PT

Individual provider Physical Therapist · NPI 1962500504

Mr. Kevin M Connellan, PT is a Physical Therapist in Private Practice in Wallingford, Connecticut. Graduated from University of Vermont College of Medicine in 2002, 24 years ago. Practices with Anb-Ptsma Holdings Inc, a 184-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
24
Trained at
University of Vermont College of Medicine
Licensed in
CT
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

97 Barnes Rd
Wallingford, CT 06492-1885
Phone: (203) 793-7592
Fax: (203) 793-7397
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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 7235 (CT)

Record details

NPI number1962500504
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 24, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Anb-Ptsma Holdings Inc — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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