Individual provider Active NPI

Jessica Obey, PT, DPT

  • Physical Therapist
  • South Windsor, CT
National Provider Identifier
1811676158
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.013714 Issued in CT
Practice address
2004 Mill Pond Dr
South Windsor, CT 06074-4320
Phone
(860) 917-3301
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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 14.013714 CT Primary

Addresses

Primary practice location

2004 Mill Pond Dr
South Windsor, CT 06074-4320

Mailing address

22 Mayflower Dr
Marlborough, CT 06447-1045
Phone (860) 917-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831004665 CT Practitioner - Physical Therapist in Private Practice 9133582596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab PT CT, LLCGroup PAC ID 8820235575, 76 clinicians

Practice addresses (Care Compare)

Southbury, CT 06488
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14.013714CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Built for Balance LLC CurrentSince Aug 17, 2025 Accepting new patients
Fox Rehab PT CT, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Connecticut Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 18, 2023 Accepting new patients

Locations

500 Post Rd E
Westport, CT 06880
Phone (203) 516-0346

Organizations & group practices 3

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1811676158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAYFLOWER DR",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471045",
            "telephone_number": "860-917-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 MILL POND DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060744320",
            "telephone_number": "860-917-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEY",
        "first_name": "JESSICA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.013714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 14, 2025; 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.