Kathryn J Haaland, RPT
Individual provider Active NPI Physical Therapist · East Lyme, CT
NPI 1104825322 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104825322
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 007331 (CT)
- Practice address
- 131 Boston Post Rd
East Lyme, CT 06333-1605 - Phone
- (860) 739-4497
- Fax
- (860) 739-7256
- NPI assigned
- Jul 19, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007331 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoreline Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007331 | CT | Yes |
Addresses
Primary practice location
131 Boston Post Rd
East Lyme, CT 06333-1605
Mailing address
PO Box 88
East Lyme, CT 06333-0088
Phone (860) 739-4497
NPI Registry JSON
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104825322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063330088",
"telephone_number": "860-739-4497",
"fax_number": "860-739-7256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 BOSTON POST RD",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063331605",
"telephone_number": "860-739-4497",
"fax_number": "860-739-7256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAALAND",
"first_name": "KATHRYN",
"middle_name": "J",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lyme, CT
- Thomas B Goulding
- Grace K. Grajales
- Megan E Grunwald
- Rachael Elizabeth Guerri
- Guiding Light Speech Therapy
- Harborlight Health
- Corrine A Hassett
- Arlene Havens
- Healthsource of East Lyme LLC
- Patricia Healy
All providers in East Lyme, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.