Active NPI
Cloak Tactical Performance Physical Therapy
- Physical Therapy Clinic/Center
- Middletown, CT
National Provider Identifier
1649083775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CLOAK TACTICAL PERFORMANCE PHYSICAL THERAPY
- Practice address
- 180 Johnson St
Middletown, CT 06457-2247 - Phone
- (774) 266-1946
- NPI assigned
- Jan 31, 2025
- Last updated
- Jan 31, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Donald Soule, DPT
- Title
- Owner
- Phone
- (774) 266-1946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
180 Johnson St
Middletown, CT 06457-2247
Mailing address
448 Atkins St
Middletown, CT 06457-1595
Phone (774) 266-1946
National Provider Directory
National Provider DirectoryLocations
180 Johnson St
Middletown, CT 06457
Phone (774) 266-1946
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Middletown, CT
- NPI 1770237117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1649083775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 ATKINS ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064571595",
"telephone_number": "774-266-1946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JOHNSON ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572247",
"telephone_number": "774-266-1946"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOAK TACTICAL PERFORMANCE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "SOULE",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "774-266-1946",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.