Individual provider Active NPI

Jacquelyn Josephine Jaronczyk, PT, DPT, PRPC

  • Physical Medicine & Rehabilitation Physician
  • Lindenhurst, NY
National Provider Identifier
1528664737
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
046795 Issued in NY
Practice address
171 S Wellwood Ave Ste B
Lindenhurst, NY 11757-4909
Phone
(959) 241-8109
Fax
(860) 955-1603
NPI assigned
Dec 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 046795 NY Primary
Physical Therapy Clinic/Center 261QP2000X 13755 CT

Addresses

Primary practice location

171 S Wellwood Ave Ste B
Lindenhurst, NY 11757-4909

Mailing address

171 S Wellwood Ave Ste B
Lindenhurst, NY 11757-4909
Phone (959) 241-8109

Other practice location 1

24 Battle St Ste 1A
Somers, CT 06071-1629
Phone (959) 241-8109

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Frontdesk@Pelvicconnections.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046795NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pelvic Connections PT, PLLC Physical Therapy Current Accepting new patients
Soma Fit Physical Therapy PLLC PastSince Dec 13, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1528664737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S WELLWOOD AVE STE B",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574909",
            "telephone_number": "959-241-8109",
            "fax_number": "860-955-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S WELLWOOD AVE STE B",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574909",
            "telephone_number": "959-241-8109",
            "fax_number": "860-955-1603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Battle St Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "CT",
            "postal_code": "060711629",
            "country_code": "US",
            "telephone_number": "959-241-8109",
            "fax_number": "860-955-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARONCZYK",
        "first_name": "JACQUELYN",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PRPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "046795",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "13755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Frontdesk@Pelvicconnections.com",
            "affiliation": "N",
            "endpointDescription": "Front Desk Email",
            "address_1": "171 S Wellwood Ave Ste B",
            "city": "Lindenhurst",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117574909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.