Jacqueline Oates

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11058 Issued in CT

Practice address

1080 Day Hill Rd
Suite 2
Windsor, CT 06095-1781

Phone

(860) 298-8442

NPI assigned

Aug 2, 2016

Sex

Female

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Physical Therapy Specialists LLCGroup PAC ID 9638330236, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connecticut Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Granby, CT
  • NPI 1639441439

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1164975694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SIERRA DR",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751251",
            "telephone_number": "508-802-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 DAY HILL RD",
            "address_2": "SUITE 2",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060951781",
            "telephone_number": "860-298-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elesa Nugent Weaver-Bey
• Ajaykumar Nune
• Nutmeg Orthodontics, LLC
• Caitlin O'Meara, DPT
• Marina Chebotayev O'Neil, SLP
• Lauren Oates
• Occupational Health Centers of the Southwest, P.a., P.C.
• Anita Oile, RN
• Samuel Godwin Okeorji, MSW
• Olusegun Olaosebikan, DNP, MS, MPH, APRN-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.