Active NPI
Amina Tariq, PT
- Physical Therapist
- Glastonbury, CT
National Provider Identifier
1336077601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15270
- Practice address
- 345 Western Blvd
Glastonbury, CT 06033-4380 - Phone
- (860) 549-8975
- NPI assigned
- May 8, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15270 | CT | Primary |
Addresses
Primary practice location
345 Western Blvd
Glastonbury, CT 06033-4380
Mailing address
330 Vernon Ave
Vernon, CT 06066-4319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15270 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1336077601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 VERNON AVE",
"city": "VERNON",
"state": "CT",
"postal_code": "060664319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 WESTERN BLVD",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334380",
"telephone_number": "860-549-8975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARIQ",
"first_name": "AMINA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-08",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "15270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.