Jack Richard Kinsey, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000710 Issued in CT

Practice address

1 Emily Way
West Hartford, CT 06107-3136

Phone

(860) 561-7022

NPI assigned

Dec 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1104161538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRIGHTVIEW DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172001",
            "telephone_number": "860-233-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMILY WAY",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061073136",
            "telephone_number": "860-561-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSEY",
        "first_name": "JACK",
        "middle_name": "RICHARD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Platt
• Emily King
• Heidi Caroline King, APRN, PMHNP-BC
• Prisella Michelle King, LADC LMSW
• Zachary Edward King, COTA/L, LMT
• Evelyn Diane Kirkman, LCSW
• Sara Frances Kirsch
• Genevieve Ann Kirsche
• Elena Kiryanova
• Alan Usher Klatsky, M.D.

• Physical Therapy Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.