Phoenix Therapy Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX THERAPY SERVICES, LLC

Practice address

185 Center St Ste E
Wallingford, CT 06492-4179

Phone

(203) 514-9787

NPI assigned

May 12, 2025

Last updated

May 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica L CronkNPI 1053656405

Title

Owner

Phone

(203) 214-4332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica L Cronk, PT

  • Physical Therapist
  • Wallingford, CT
  • NPI 1053656405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1255121158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064220562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST STE E",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924179",
            "telephone_number": "203-514-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "CRONK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-214-4332"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Pettit, RPT
• Pharmacy and Therapeutics Consulting, Inc.
• Pharmacy Corporation of America (OnePoint Patient Care)
• Pharmacy Corporation of America (Pharmerica)
• Nicole Phillips
• Lisa Phung, SLP
• Bonnie M Piascyk, APRN
• Francisco John Pimentel, O.D.
• Emily Pindar, ATC
• Celina Michelle Pizarro

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.