Active NPI
Jesse Fleming
- Physical Therapist
- Brookfield, CT
National Provider Identifier
1194670976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15613
- Practice address
- 3 Federal Rd Ste 100
Brookfield, CT 06804-2505 - Phone
- (203) 456-1010
- NPI assigned
- Feb 26, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15613 | CT | Primary |
Addresses
Primary practice location
3 Federal Rd Ste 100
Brookfield, CT 06804-2505
Mailing address
200 Bloomfield Ave
West Hartford, CT 06117-1599
Phone (203) 733-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1194670976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BLOOMFIELD AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061171599",
"telephone_number": "203-733-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 FEDERAL RD STE 100",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042505",
"telephone_number": "203-456-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "JESSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-26",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "15613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.