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 registered under 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
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Practice location Address checks out

115 Technology Dr Ste A200
Trumbull, CT 06611-6338 Not confirmed with CMS for 15 years — call before visiting
Phone: (203) 268-5801
Fax: (203) 452-3688
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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 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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 1,090 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Other providers in Trumbull