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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
007331CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, LLC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "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

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Sources for this page

Verify at the official NPI Registry.