Eric Tharaldson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006900 Issued in CT

Practice address

75 Great Pond Rd
Simsbury, CT 06070-1980

Phone

(860) 658-3700

NPI assigned

May 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eric Tharaldson Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Windsor Locks, CT
  • NPI 1336895143

  Physical Therapist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386858553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SIMSBURY LNDG",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GREAT POND RD",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060701980",
            "telephone_number": "860-658-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARALDSON",
        "first_name": "ERIC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Conner Szekeres, MA CCC-SLP
• Gisel Tani Tanos, APRN
• Jennifer A. Taylor, PT
• Dean Teitelbaum, PT, DPT
• Eric Terzini, PTA
• The Stop & Shop Supermarket Company LLC
• Therapeutic Connections, LLC
• Pamela Leary Turner, PT
• Valley Rehabilitation Center, Inc.
• Vanschaack Counseling, LLC

• Physical Therapist in Simsbury, CT
• Providers in Simsbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.