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

Individual provider Physical Therapist · NPI 1992459812

Shannon Nicholls, DPT is a Physical Therapist in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2022.

Licensed in
CT
In the registry since
2022
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

2150 E Main St
Waterbury, CT 06705-2608
Phone: (203) 598-0400
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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 13420 (CT)

Record details

NPI number1992459812
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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