Jessica Bocek, PT, DPT
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Southington, CT
NPI 1265197461 · NPPES record last updated Nov 2, 2021
Key facts
- NPI
- 1265197461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 12746 (CT)
- Practice address
- 45 Evergreen LN
Southington, CT 06489-2705 - Phone
- (860) 919-6353
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12746 | CT | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 12746 | CT | Yes |
Addresses
Primary practice location
45 Evergreen LN
Southington, CT 06489-2705
Mailing address
45 Evergreen LN
Southington, CT 06489-2705
Phone (860) 919-6353
Other providers in Southington, CT
- BJ'S Wholesale Club Inc.
- Kathryn Blair
- Lily Blanchet
- Arthur Blumer
- Margit Bobman
- Body Balance Therapeutic Massage
- Paige Bogda
- Craig M Bogdanski
- Sophia Bolio
- Kristin Bontempi
All providers in Southington, CT · Physical Medicine & Rehabilitation Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.