| Eric Tietz, | |
|
76 Westbury Park Rd, Watertown, CT 06795-2779 | |
| (860) 274-7573 | |
| Not Available |
| Full Name | Eric Tietz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 76 Westbury Park Rd, Watertown, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689935074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 009531 (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 |
| Provider Name | Madison Rehabilitation Center Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1750350245 PECOS PAC ID: 8628051299 Enrollment ID: O20210119000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Tietz, 76 Westbury Park Rd, Watertown, CT 06795-2779 Ph: (860) 274-7573 | Eric Tietz, 76 Westbury Park Rd, Watertown, CT 06795-2779 Ph: (860) 274-7573 |
Marisa Lynn-castiglia Mancini, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 777 Echo Lake Road, Suite I, Watertown, CT 06795 Phone: 959-209-4318 | |
Paula A Conway, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Depot St, Suite 2, Watertown, CT 06795 Phone: 860-274-3200 Fax: 860-274-8100 | |
Terri E Baker, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Depot St, Suite 2, Watertown, CT 06795 Phone: 860-274-3200 Fax: 860-274-8100 | |
Gloria Christiano, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 777 Echo Lake Rd Unit I, Watertown, CT 06795 Phone: 959-209-4318 Fax: 860-209-4336 | |
Mr. Daniel Stango, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 58 Loop Rd, Watertown, CT 06795 Phone: 203-206-4576 Fax: 860-417-2457 | |
Jason Smutnick, MS, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Depot St, Watertown, CT 06795 Phone: 860-274-1487 Fax: 860-274-4860 | |
Jessica Franca, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27 Depot Street, Watertown, CT 06795 Phone: 860-274-1487 Fax: 860-274-9730 |