Individual provider Active NPI

Jennifer Brooks Kubrynski, PT

  • Physical Therapist
  • Middletown, CT
National Provider Identifier
1174578264
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8236 Issued in CT
Practice address
410 Saybrook Rd
Middletown, CT 06457-4777
Phone
(860) 638-3820
Fax
(860) 638-3840
NPI assigned
May 24, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010049 WA
Physical Therapist 225100000X 8236 CT Primary

Addresses

Primary practice location

410 Saybrook Rd
Middletown, CT 06457-4777

Mailing address

507 Cambridge Commons
Middletown, CT 06457-5854
Phone (401) 374-4523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100701000274 CT Practitioner - Physical Therapist in Private Practice 1951314442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of New England, College of Osteo Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4 Grove Beach Rd N
Westbrook, CT 06498-1656
Phone (860) 669-4197

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8236CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Middlesex Orthopedic Surgeons PC CurrentSince Mar 1, 2010 Accepting new patients
Central Washington Physical Therapy Physical Therapist PastSince Oct 18, 1999 Accepting new patients

Locations

6 Greenwich Office Park
Greenwich, CT 06831
Phone (203) 869-1145

117 Main St
Hebron, CT 06248
Phone (860) 228-3888

410 Saybrook Rd
Ste 100
Middletown, CT 06457
Phone (860) 685-8951

430 Saybrook Rd
Middletown, CT 06457
Phone (860) 638-3820

4 Grove Beach Rd N
Westbrook, CT 06498
Phone (860) 664-3553

4 Grove Beach Rd N
Ste E
Westbrook, CT 06498

Organizations & group practices 4

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1174578264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CAMBRIDGE COMMONS",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575854",
            "telephone_number": "401-374-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574777",
            "telephone_number": "860-638-3820",
            "fax_number": "860-638-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBRYNSKI",
        "first_name": "JENNIFER",
        "middle_name": "BROOKS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010049",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.