Individual provider Active NPI

Jason Desombre, PT

  • Physical Therapist
  • Bridgeport, CT
National Provider Identifier
1457306383
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006603 Issued in CT
Practice address
3909 Main St
Bridgeport, CT 06606-2815
Phone
(203) 374-9800
Fax
(203) 374-9803
NPI assigned
May 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 006603 CT Primary

Addresses

Primary practice location

3909 Main St
Bridgeport, CT 06606-2815

Mailing address

31 Old Route 7
Credentialing Dept
Brookfield, CT 06804-1714
Phone (203) 740-0020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111108000558 CT Practitioner - Physical Therapist in Private Practice 1153594148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialty Group PCGroup PAC ID 8820037898, 61 clinicians

Practice addresses (Care Compare)

305 Black Rock Tpke
Fairfield, CT 06825-5508
Phone (203) 337-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.92 of 100Reported as group
Quality
58.9
Promoting interoperability
82
Improvement activities
40
Cost
75.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006603CTMDPhysical Therapist
6603CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialty Group, P.C. CurrentSince Apr 23, 2024 Accepting new patients
Orthopaedic Specialty Group, P.C. Past Accepting new patients

Locations

305 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 337-2600

760 River Rd
Shelton, CT 06484
Phone (203) 337-2600

2909 Main St
Stratford, CT 06614
Phone (203) 377-5108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457306383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "address_2": "CREDENTIALING DEPT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062815",
            "telephone_number": "203-374-9800",
            "fax_number": "203-374-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOMBRE",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.