Individual provider Active NPI

Jeremy Nash, PT

  • Physical Therapist
  • Tolland, CT
National Provider Identifier
1205903457
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT1983 Issued in ME
Practice address
9B Fieldstone CMNS
Tolland, CT 06084-3421
Phone
(860) 870-9800
Fax
(860) 870-9806
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT1983 ME Primary

Addresses

Primary practice location

9B Fieldstone CMNS
Tolland, CT 06084-3421

Mailing address

435 Hartford Tpke
Suite U
Vernon, CT 06066-4852
Phone (860) 979-1600

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 26, 2012 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Back in Motion Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

148 East Ave
Ste 3K
Norwalk, CT 06851
Phone (203) 852-1822

230 Mountain Rd
Fl 2
Suffield, CT 06078
Phone (860) 668-9589

9B Fieldstone Cmns
Tolland, CT 06084
Phone (860) 870-9800

435 Hartford Tpke
Ste U
Vernon Rockville, CT 06066
Phone (860) 870-8272

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1205903457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE",
            "address_2": "SUITE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664852",
            "telephone_number": "860-979-1600",
            "fax_number": "203-866-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9B FIELDSTONE CMNS",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843421",
            "telephone_number": "860-870-9800",
            "fax_number": "860-870-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JEREMY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.