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

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

Other providers in Avon