BRADLEY T PIKE (Credential# 1153922) is licensed (Physical Therapist Assistant) with Connecticut Department of Consumer Protection. The license effective date is December 1, 2019. The license expiration date date is November 30, 2020. The license status is ACTIVE.
BRADLEY T PIKE is licensed with the Department of Consumer Protection of Connecticut. The credential number is #63.001389. The credential type is physical therapist assistant. The effective date is December 1, 2019. The expiration date is November 30, 2020. The business address is 33 Sprague Hill Rd, Eastford, CT 06242-9425. The current status is active.
Licensee Name | BRADLEY T PIKE |
Credential ID | 1153922 |
Credential Number | 63.001389 |
Credential Type | Physical Therapist Assistant |
Business Address |
33 Sprague Hill Rd Eastford CT 06242-9425 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2013-07-23 |
Effective Date | 2019-12-01 |
Expiration Date | 2020-11-30 |
Refresh Date | 2020-01-02 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1171624 | 63.001368-TEMP | PTA Temporary Permit | 2013-06-25 | 2013-06-25 - 2013-07-22 | INACTIVE |
1171623 | 63-TEMP | PTA Temporary Permit | - | PENDING |
Street Address | 33 SPRAGUE HILL RD |
City | EASTFORD |
State | CT |
Zip Code | 06242-9425 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Johanna R Pike | 33 Sprague Hill Rd, Eastford, CT 06242-9425 | Professional Counselor | 2019-06-01 ~ 2020-05-31 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Buells Orchard | 108 Crystal Pond Rd, Eastford, CT 06242 | Operator of Weighing & Measuring Devices | 2020-08-01 ~ 2021-07-31 |
Danielle C Nadal | 93 Main Street, East Hampton, CT 06242 | Hairdresser/cosmetician | 2020-05-01 ~ 2022-04-30 |
Shelly A Primus | 147 Union Road, Eastford, CT 06242 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Kyle W Ravenelle | 78 Lakeside Dr, Eastford, CT 06242 | Paramedic | 2020-04-01 ~ 2021-03-31 |
Christine A Previe | 162 Fire Tower Rd., Eastford, CT 06242 | Veterinarian | 2020-07-01 ~ 2021-06-30 |
Wendy B O'brien | 19 Abington Road, Eastford, CT 06242 | Notary Public Appointment | 2015-06-01 ~ 2020-05-31 |
Chrystal Sparks | 175 Pilfershire Road, Eastford, CT 06242 | Master's Level Social Worker - Temporary Permit | 2020-05-22 ~ 2020-09-07 |
Jennifer E Norman | 65 Kozey Road, Eastford, CT 06242 | Notary Public Appointment | 2020-05-01 ~ 2025-04-30 |
Vivian B Kozey | 111 Kozey Road, Eastford, CT 06242 | Real Estate Salesperson | 2020-06-01 ~ 2021-05-31 |
Maureen M Tacy | 72 Kennerson Reservoir Road, Eastford, CT 06242 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Find all Licenses in zip 06242 |
City | EASTFORD |
Zip Code | 06242 |
License Type | Physical Therapist Assistant |
License Type + County | Physical Therapist Assistant + EASTFORD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Gail A Gass | 246 Farnum Pike, Smithfield, RI 02917 | Physical Therapist Assistant | 2012-03-01 ~ 2013-02-28 |
Lindsay Kathryn Lewis | 641 Plainfield Pike, Moosup, CT 06354-2022 | Physical Therapist Assistant | ~ |
Madison Nora Berg | 881 Pike Ave, Attleboro, MA 02703-5323 | Physical Therapist Assistant | 2018-10-11 ~ 2019-09-30 |
Bradley M Roberts | Po Box 18, Oneco, CT 06373-0018 | Physical Therapist Assistant | 2018-08-01 ~ 2019-07-31 |
Courtney W Austin | 249 L D Bradley Rd, Moselle, MS 39459-9507 | Physical Therapist Assistant | 2012-04-02 ~ 2013-04-30 |
Robert A Thornton | 9378 Bradley Ave, Cuba, NY 14727-9728 | Physical Therapist Assistant | 2016-08-18 ~ 2017-01-31 |
Andre Jamal Phillips | 177 Bradley Street, Bridgeport, CT 06610 | Physical Therapist Assistant | 2019-10-01 ~ 2020-09-30 |
Cora J Freelove | 8 Central Pike, Foster, RI 02825-1408 | Occupational Therapist Assistant | 2013-07-23 ~ 2015-07-31 |
Corrine Elizabeth Pike | 122 Cheshire Rd, Wallingford, CT 06492-3373 | Occupational Therapist Assistant | 2020-06-02 ~ 2021-07-31 |
Herbert J Pike | 65 Pokorny Rd, Higganum, CT 06441 | Physical Therapist | 2006-03-16 ~ 2007-04-30 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).