Active NPIIndividual provider

Edward G Mckiernan IV, RPT

Physical Therapist in Trumbull, Connecticut

NPI Number1497866107
Practice location
115 Technology Dr, Ste A200, Trumbull, CT 06611-6338
Fax
203-452-3688
Last updated
October 14, 2010

Edward G Mckiernan is a Physical Therapist based in Trumbull, CT. Edward G Mckiernan practices in Trumbull, CT and has the professional credentials of RPT. The NPI Number for Edward G Mckiernan is 1497866107 and holds a License No. 004917 (CT). The current practice location address for Edward G Mckiernan is 115 Technology Dr, Ste A200, Trumbull, CT 06611-6338 and can be reached out via phone at 203-268-5801 and via fax at 203-452-3688.

Provider Profile Details

NPI Number
1497866107
Provider Name
Edward G Mckiernan
Credential
RPT
Provider Entity Type
Individual
Gender
Male
Address
115 Technology Dr, Ste A200, Trumbull, CT 06611-6338
Phone Number
203-268-5801
Fax Number
203-452-3688
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
October 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Technology Dr
Ste A200
Trumbull, CT 06611-6338
Zip
06611-6338
Phone Number
203-268-5801
Fax Number
203-452-3688
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
115 Technology Dr
Ste A200
Trumbull, CT 06611-6338
City
Trumbull
State
CT
Zip
06611-6338
Phone Number
203-268-5801
Fax Number
203-452-3688

License Information

License Number
004917
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edward G Mckiernan IV, RPT?

The NPI number of Edward G Mckiernan IV, RPT is 1497866107. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Edward G Mckiernan IV, RPT?

Edward G Mckiernan IV, RPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 004917.

Where does Edward G Mckiernan IV, RPT practice?

The practice location is 115 Technology Dr, Ste A200, Trumbull, CT 06611-6338. The office can be reached at 203-268-5801 (phone) or 203-452-3688 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1497866107 directly on the NPPES registry website.

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