Individual provider Active NPI

Jordyn Elizabeth Nielson, DPT

  • Physical Therapist
  • South Windsor, CT
National Provider Identifier
1669087888
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12864 Issued in CT
Practice address
435 Buckland Rd
South Windsor, CT 06074-3720
Phone
(860) 337-7100
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 12864 CT Primary

Addresses

Primary practice location

435 Buckland Rd
South Windsor, CT 06074-3720

Mailing address

16 Maybrook Rd Ste N
Campbell Hall, NY 10916-2741
Phone (845) 636-4344

Other names 1

  • Jordyn Willey Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917000044 CT Practitioner - Physical Therapist in Private Practice 4587082979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Physical Therapy and Wellness LLCGroup PAC ID 8426317595, 21 clinicians

Practice addresses (Care Compare)

1111 Cromwell Ave
Suite 304
Rocky Hill, CT 06067-3455
Phone (860) 256-8443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12864CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Sep 2, 2020 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

129 Woodland St
Hartford, CT 06105
Phone (860) 256-4774

100 State Route 37
New Fairfield, CT 06812
Phone (203) 312-0210

170 Mount Pleasant Rd
Ste 202
Newtown, CT 06470
Phone (203) 775-3840

1111 Cromwell Ave
Ste 304
Rocky Hill, CT 06067
Phone (860) 256-8443

435 Buckland Rd
South Windsor, CT 06074
Phone (860) 249-3272

16 Maybrook Rd
Ste N
Campbell Hall, NY 10916

Organizations & group practices 1

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1669087888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE N",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743720",
            "telephone_number": "860-337-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JORDYN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDYN",
            "last_name": "WILLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.