Individual provider Active NPI

Jessica A Suomala, P.T.

  • Physical Therapist
  • Oxford, CT
National Provider Identifier
1295851715
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006908 Issued in CT
Practice address
144 Oxford Rd
Oxford, CT 06478-1982
Phone
(203) 881-5266
Fax
(203) 881-5264
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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 006908 CT Primary

Addresses

Primary practice location

144 Oxford Rd
Oxford, CT 06478-1982

Mailing address

111 Wakelee Ave
Ansonia, CT 06401-1151
Phone (203) 734-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100514000770 CT Practitioner - Physical Therapist in Private Practice 0840328613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Connecticut IncGroup PAC ID 8325203649, 71 clinicians

Practice addresses (Care Compare)

101 N Plains Industrial Rd
Wallingford, CT 06492-2360
Phone (203) 265-0018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006908CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Pilates Restoration LLC Physical Therapist CurrentSince Oct 22, 2024 Accepting new patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
New England Physical Therapy & Wellness LLC Physical Therapist Past Accepting new patients

Locations

288 Highland Ave
Cheshire, CT 06410
Phone (203) 271-1311

288 Highland Ave
Ste 1
Cheshire, CT 06410
Phone (203) 272-3155

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1295851715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011151",
            "telephone_number": "203-734-7900",
            "fax_number": "203-734-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 OXFORD RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781982",
            "telephone_number": "203-881-5266",
            "fax_number": "203-881-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUOMALA",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.