Tracy Bartholomew, DPT
Individual provider Active NPI Pediatric Physical Therapist · Cromwell, CT
NPI 1861074445 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1861074445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 011125 (CT)
- Practice address
- 162 West St Ste F
Cromwell, CT 06416-4405 - Phone
- (860) 613-9930
- NPI assigned
- Apr 23, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011125 | CT | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 011125 | CT | Yes |
Addresses
Primary practice location
162 West St Ste F
Cromwell, CT 06416-4405
Mailing address
162 West St Ste F
Cromwell, CT 06416-4405
Phone (860) 613-9930
Other providers in Cromwell, CT
- Pamela Balskus
- Gabrielle Balzarini
- Kathleen Ackley Banning
- Kristal Barnes
- Sophia Katrina Ardez Barranco
- Sara Hafez Basyouny
- Catherine Baum
- Beacon
- Paige Beaudoin
- Zoe Helen Beck
All providers in Cromwell, CT · Pediatric Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.