Rebecca Jean Tharaldson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000123 Issued in CT

Practice address

80 Lamberton Rd
Windsor, CT 06095

Phone

(860) 683-4603

NPI assigned

Aug 12, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rebecca Jean Cyr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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
  NPD

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1871749697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ROBERTS ST.",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "06096",
            "telephone_number": "860-209-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 LAMBERTON RD",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "06095",
            "telephone_number": "860-683-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THARALDSON",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CYR",
            "middle_name": "JEAN",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Tarca, DPT
• Latoya Taylor
• Pamela M. Taylor, PSY.D.
• Lilliana Judith Tejada
• Payal Thaker
• The Green Therapeutic Center
• The Stop & Shop Supermarket Company LLC
• Thomas D. Patenaude, Psy.D., L.L.C.
• Crystal Thomas
• Keyona Thomas

• All providers in Windsor, CT
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.