IndividualActive
Kelly Proulx, PT
NPI 1417336025 · Pediatric Physical Therapist · Avon, CT
Provider details
- NPI number
- 1417336025
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 009332 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
49 W Main St
Avon, CT 06001-3717
Phone: (860) 284-9779
Fax: (860) 409-2190
Street-level locationGet directions
Mailing address
49 W Main St
Avon, CT 06001-3717
Registry dates
- Enumerated
- 2015-05-28
- Last updated
- 2015-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.