Individual provider Active NPI

Jessica L Cronk, PT

  • Physical Therapist
  • Wallingford, CT
National Provider Identifier
1053656405
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007201 Issued in CT
Practice address
185 Center St Ste E
Wallingford, CT 06492-4179
Phone
(203) 514-9787
NPI assigned
Dec 11, 2012
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007201 CT Primary

Addresses

Primary practice location

185 Center St Ste E
Wallingford, CT 06492-4179

Mailing address

PO Box 562
Durham, CT 06422-0562
Phone (203) 514-9787

Other practice location 1

1 Emily Way
West Hartford, CT 06107-3136
Phone (203) 214-4332

Other practice location 2

59 Deer Run Rd
Durham, CT 06422
Phone (203) 214-4332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220323002108 CT Practitioner - Physical Therapist in Private Practice 7315332699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ushus Therapy Services LLCGroup PAC ID 7416099411, 3 clinicians

Practice addresses (Care Compare)

185 Ctr St
Suite E
Wallingford, CT 06492-4179
Phone (203) 514-9787

335 Highland Ave
Suite 201
Cheshire, CT 06410-2549
Phone (203) 699-9264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007201CTMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Therapy Services, LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Ushus Therapy Services LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients

Locations

335 Highland Ave
Ste 201
Cheshire, CT 06410
Phone (203) 699-9264

185 Center St
Ste E
Wallingford, CT 06492
Phone (203) 265-1330

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1053656405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064220562",
            "telephone_number": "203-514-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST STE E",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924179",
            "telephone_number": "203-514-9787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Emily Way",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061073136",
            "country_code": "US",
            "telephone_number": "203-214-4332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Deer Run Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "CT",
            "postal_code": "06422",
            "country_code": "US",
            "telephone_number": "203-214-4332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONK",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-11",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.