| Dr Ethan Tyler Pearson, DPT | |
|
1231 Farmington Ave, Berlin, CT 06037-2301 | |
| (860) 827-1333 | |
| Not Available |
| Full Name | Dr Ethan Tyler Pearson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1231 Farmington Ave, Berlin, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821829037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14652 (Connecticut) | Primary |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Tyler Pearson, DPT 125 Redwood Dr, Bristol, CT 06010-2417 Ph: (860) 385-3550 | Dr Ethan Tyler Pearson, DPT 1231 Farmington Ave, Berlin, CT 06037-2301 Ph: (860) 827-1333 |
David Reindl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Central Ct Sports Medicine Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Mr. Leonard Pare, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Olivia Tubis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Kari Anne Callahan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 Fax: 860-829-5577 | |
Dallas Peery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Jonathan Maneen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 598 Deming Rd, Berlin, CT 06037 Phone: 203-601-7446 |