Jacob Chwiedz, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

12771 Issued in CT

Practice address

179 Linwood Ave Unit a-4
Colchester, CT 06415-1160

Phone

(860) 603-3900

NPI assigned

Sep 23, 2020

Last updated

Sep 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carlson Therapy Network PCGroup PAC ID 8527968445, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carlson Therapy Network, PC

  dba Carlson Procare

  • Physical Therapist
  • New Milford, CT
  • NPI 1114979226

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Insight Rehab & Wellness PLLC

  • Physical Therapy Clinic/Center
  • Bethel, CT
  • NPI 1619646650

  Orthopedic

  NPD
• Shaws Cove Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • New London, CT
  • NPI 1275554222
  NPD (past)

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1780290882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHRISTINA CT",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131054",
            "telephone_number": "860-977-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 LINWOOD AVE UNIT A-4",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151160",
            "telephone_number": "860-603-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1291 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064433476",
            "country_code": "US",
            "telephone_number": "203-245-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHWIEDZ",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "12771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Chiropractic, Inc. (Casey Chiropractic)
• Aaron C Casey, D.C.
• Emily Casey, PSY.D.
• Shelly Lynn Ceceri, LPTA
• Victoria Christiansen
• Michael Angelo Ciotto Jr.
• Elizabeth Clarkin, LCSW
• Cleomeni Home Care Agency LLC
• Stephanie Lynn Colacicco, NUTRITIONIST
• Colchester Board of Education

• Orthopedic Physical Therapist in Colchester, CT
• Providers in Colchester, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.