Jarred Anthony Parker, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007631 Issued in CT

Practice address

240 East St
Select Physical Therapy
Plainville, CT 06062-2935

Phone

(860) 793-6882

NPI assigned

Jul 21, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Wolcott, CT
  • NPI 1861677262
  Medicare reassignment
• Community Physical Therapy

  • Physical Therapist
  • Wolcott, CT
  • NPI 1528275872
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1013172857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMDEN WAY",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013236",
            "telephone_number": "860-940-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EAST ST",
            "address_2": "SELECT PHYSICAL THERAPY",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622935",
            "telephone_number": "860-793-6882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JARRED",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "007631",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "007631",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Panek
• Craig Pannone, N.D.
• Vasiliki N/a Papastefanidou, MASTER
• Sara Pappaceno, MFT
• Damian Anthony Parker, MFT
• Suruchi Patel
• Marisha Pearson, LCSW
• Pediatric Services of America, LLC
• Sharon Leslie Pendleton-Ponzani, LCSW
• Jonathan Pendleton, M.D.

• Physical Therapist in Plainville, CT
• Providers in Plainville, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.