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

Robert Edward Douglass, PT, ATC

Individual provider Physical Therapist · NPI 1134281587

Robert Edward Douglass, PT, ATC is a Physical Therapist in Private Practice in Waterbury, Connecticut. Qualified in 2000, 26 years ago. Practices with Day Physical Therapy Management LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
26
Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

22 Tompkins St
Waterbury, CT 06708-1458
Phone: (203) 419-0381
Fax: (203) 419-0389
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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 006694 (CT)
Athletic Trainer Taxonomy 2255A2300X · Licence 000174 (CT)

Record details

NPI number1134281587
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESMarch 8, 2013

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Day Physical Therapy Management Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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