Active NPIIndividual provider

Dr. Ethan T Pearson, DPT

Physical Therapist in Berlin, Connecticut

NPI Number1821829037
Practice location
1231 Farmington Ave, Berlin, CT 06037-2301
Fax
—
Last updated
September 25, 2024

Ethan Tyler Pearson is a Physical Therapist based in Berlin, CT. Ethan Tyler Pearson practices in Berlin, CT and has the professional credentials of DPT. The NPI Number for Ethan Tyler Pearson is 1821829037 and holds a License No. 14652 (CT). The current practice location address for Ethan Tyler Pearson is 1231 Farmington Ave, Berlin, CT 06037-2301 and can be reached out via phone at 860-827-1333.

Provider Profile Details

NPI Number
1821829037
Provider Name
Ethan Tyler Pearson
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
1231 Farmington Ave, Berlin, CT 06037-2301
Phone Number
860-827-1333
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2024
Last Update Date
September 25, 2024
Certification Date
September 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1231 Farmington Ave
Berlin, CT 06037-2301
City
Berlin
Zip
06037-2301
Phone Number
860-827-1333
Berlin, CT 06037Get directions →

Provider Business Mailing Address Details

Address
125 Redwood Dr
Bristol, CT 06010-2417
City
Bristol
State
CT
Zip
06010-2417
Phone Number
860-385-3550

License Information

License Number
14652
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 Dr. Ethan T Pearson, DPT?

The NPI number of Dr. Ethan T Pearson, DPT is 1821829037. It was assigned on August 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Ethan T Pearson, DPT?

Dr. Ethan T Pearson, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 14652.

Where does Dr. Ethan T Pearson, DPT practice?

The practice location is 1231 Farmington Ave, Berlin, CT 06037-2301. The office can be reached at 860-827-1333 (phone).

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 1821829037 directly on the NPPES registry website.

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