John Jarecki Physical Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

004349 Issued in CT

Legal business name

JOHN JARECKI PHYSICAL THERAPY SERVICES LLC

Practice address

1735 Post Rd
Suite 7
Fairfield, CT 06824-5782

Phone

(203) 256-4733

Fax

(203) 256-4736

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Miss John Jarecki, PTNPI 1538171699

Title

Owner

Phone

(203) 256-4733

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Derek Jarecki, P.T.

  • Physical Therapist
  • Fairfield, CT
  • NPI 1538171699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154400927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "address_2": "SUITE 7",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-256-4733",
            "fax_number": "203-256-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "address_2": "SUITE 7",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-256-4733",
            "fax_number": "203-256-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN JARECKI PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JARECKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-256-4733",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "004349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V1340",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "080004349CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0115901",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John H. Machledt Jr. MD, LLC
• Genevieve A John, MD
• Gifty John
• Joanne Johnson-Krasnow, PT
• Dennis Johnson, PHAMD
• Joseph Junior Johnson, ND

• Physical Therapy Clinic/Center in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.