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

Edward G McKiernan IV, RPT

Individual provider Physical Therapist · NPI 1497866107

Edward G McKiernan IV, RPT is a Physical Therapist in Private Practice in Trumbull, Connecticut. Qualified in 1993, 33 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
33
Licensed in
CT
In the registry since
2006
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

115 Technology Dr Ste A200
Trumbull, CT 06611-6338
Phone: (203) 268-5801
Fax: (203) 452-3688
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 004917 (CT)

Record details

NPI number1497866107
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESOctober 14, 2010

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Trumbull