Eric Tietz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009531 Issued in CT

Practice address

76 Westbury Park Rd
Watertown, CT 06795-2779

Phone

(860) 274-7573

NPI assigned

Jun 3, 2012

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Madison Rehabilitation Center Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Madison, CT
  • NPI 1750350245

  Physical Therapist

  Medicare reassignment NPD
• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pawcatuck, CT
  • NPI 1033773759

  Physical Therapist

  Medicare reassignment NPD
• Ptsma Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1619393337
  NPD
• Ptsma, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Higganum, CT
  • NPI 1619522547
  NPD

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

{
    "created_epoch": "1338681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1689935074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 WESTBURY PARK RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952779",
            "telephone_number": "860-274-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 WESTBURY PARK RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952779",
            "telephone_number": "860-274-7573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Kent Rd",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "CT",
            "postal_code": "067763485",
            "country_code": "US",
            "telephone_number": "860-350-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIETZ",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Care Connection LLC
• The Restorative Dietitian, LLC
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #657)
• The Taft School
• Thrive Behavioral Solutions LLC
• Allison B Tilki, LMSW
• Alexander Pantelis Tinios
• Sandy Sgrott Tobin, PTA
• Christina Marie Torres, BCBA
• Town and Country Pediatrics and Family Medicine, P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.