Search › Connecticut › 363A00000X
Malyssa Chanthasoto, PA-C
NPI 1487222188 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067 - Phone
- (860) 525-4469
- Organisation at this address
- Niaz Ahmed, Dds, Llc
New England Home Care Inc.
Capstone Mobility Group, Llc
Rocky Hill Surgery Center, Llc
Orthopedic Surgical Partners, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 804 Farmington Ave Apt 2w, West Hartford, CT
- 31 Ensign Dr, Avon, CT
- 277 Middle Tpke W, Manchester, CT
- 3000 New Bern Ave, Raleigh, NC
- 305 Tappan Rd, Norwood, NJ
- 9 Cranbrook Blvd Fl 2, Enfield, CT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CT, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut