Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Tyler Pearson, DPT

Individual provider Physical Therapist · NPI 1821829037

Dr. Ethan Tyler Pearson, DPT is a Physical Therapist in Private Practice in Berlin, Connecticut. Qualified in 2024, 2 years ago. Practices with Ptsma Inc, a 177-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1231 Farmington Ave
Berlin, CT 06037-2301
Phone: (860) 827-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14652 (CT)

Record details

NPI number1821829037
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024
Mailing address125 Redwood Dr, Bristol, CT 06010-2417

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ptsma Inc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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