Healthcare Provider Details

I. General information

NPI: 1457275166
Provider Name (Legal Business Name): KPT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 THAMES ST APT 1
GROTON CT
06340-3979
US

IV. Provider business mailing address

502 THAMES ST APT 1
GROTON CT
06340-3979
US

V. Phone/Fax

Practice location:
  • Phone: 860-884-1467
  • Fax:
Mailing address:
  • Phone: 860-884-1467
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KATHERINE PEARCE
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 860-884-1467