Individual provider Active NPI

Jason Keith Grimes, MPT, ATC

  • Orthopedic Physical Therapist
  • Watertown, CT
National Provider Identifier
1780668574
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
007488 Issued in CT
Practice address
27 Siemon Company Dr
Watertown, CT 06795-2654
Phone
(860) 274-7573
Fax
(860) 274-5698
NPI assigned
Dec 5, 2005
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
Orthopedic Physical Therapist 2251X0800X 007488 CT Primary

Addresses

Primary practice location

27 Siemon Company Dr
Watertown, CT 06795-2654

Mailing address

102 Blamey Cir
Stratford, CT 06614-3212
Phone (203) 377-3064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071106000260 CT Practitioner - Physical Therapist in Private Practice 4688761703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

222 Post Rd
Suite E
Fairfield, CT 06824-6245
Phone (203) 255-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007488CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Orthopedic Current Accepting new patients
Ptsma, Inc. CurrentSince May 1, 2021 Accepting new patients
Ptsma Inc CurrentSince May 1, 2021 Accepting new patients
Physiotherapy Associates, Inc. Orthopedic Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Integrated Rehabilitation Services Limited Partnership Orthopedic Past Accepting new patients

Locations

222 Post Rd
Ste E
Fairfield, CT 06824
Phone (203) 255-8888

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

Organizations & group practices 6

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780668574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BLAMEY CIR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066143212",
            "telephone_number": "203-377-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SIEMON COMPANY DR",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952654",
            "telephone_number": "860-274-7573",
            "fax_number": "860-274-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "JASON",
        "middle_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "MPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "007488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, 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.