Active NPI
Jacob Zachary Carlson, DPT
- Physical Therapist
- New Britain, CT
National Provider Identifier
1699514976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14445
- Practice address
- 972 W Main St
New Britain, CT 06053-3487 - Phone
- (860) 827-0745
- NPI assigned
- May 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14445 | CT | Primary |
Addresses
Primary practice location
972 W Main St
New Britain, CT 06053-3487
Mailing address
60 Keeney Dr
Bolton, CT 06043-7328
Phone (860) 461-3034
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Past | Accepting new patients |
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.
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1699514976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 KEENEY DR",
"city": "BOLTON",
"state": "CT",
"postal_code": "060437328",
"telephone_number": "860-461-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "972 W MAIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060533487",
"telephone_number": "860-827-0745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JACOB",
"middle_name": "ZACHARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.