Eric Dyson Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001495 Issued in CT

Practice address

1145 Poquonnock Rd
Groton, CT 06340-4620

Phone

(860) 446-9960

NPI assigned

Nov 13, 2014

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1851797229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DEVONSHIRE DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851702",
            "telephone_number": "860-857-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 POQUONNOCK RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404620",
            "telephone_number": "860-446-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "ERIC",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "001495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emile Dulcine, LICENSED OPTICIAN
• Melanie Nicole Duranti, LCSW
• Rebecca Lynne Durfee, PT
• Allison Dussault, NP-C
• Andrew Dye, IDC
• East West Chiropractic, LLC
• Eastern Connecticut Dermatology PC
• Robert B. Ecker, MD
• Jesse Ivey Edwards III, DDS
• Joshua Najee Edwards

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.