Active NPI
Jason Keith Grimes, MPT, ATC
- Orthopedic Physical Therapist
- Watertown, CT
National Provider Identifier
1780668574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 007488
- 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
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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007488 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Orthopedic | Current | Accepting new patients |
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Physical Therapy Clinic/Center
- Newington, CT
- NPI 1508322272
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
Orthopedic
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.