Active NPI
Pavas Jaiswal, PT
- Physical Therapist
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011604
- Practice address
- 150 Washington Blvd FL 2
Stamford, CT 06902-8904 - Phone
- (475) 268-0030
- Fax
- (475) 268-0031
- NPI assigned
- Apr 28, 2016
- 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 | 011604 | CT | Primary |
Addresses
Primary practice location
150 Washington Blvd FL 2
Stamford, CT 06902-8904
Mailing address
4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Washington Blvd
Stamford, CT 06902-8904
Phone (475) 268-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11604 | CT | MD | Social Worker |
| 011604 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma Inc | Current | Accepting new patients | |
| Fox Rehab PT CT, LLC | Physical Therapist | Current | Accepting new patients |
Locations
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
150 Washington Blvd
Fl 2
Stamford, CT 06902
Phone (475) 268-0030
150 Washington Blvd
Stamford, CT 06902
Phone (475) 268-0030
7 Carnegie Plz
Cherry Hill, NJ 08003
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Organizations & group practices 4
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 Therapist
- Wilton, CT
- NPI 1245584234
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Physical Therapy Clinic/Center
- Stamford, CT
- NPI 1396354908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1851746754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4714 GETTYSBURG RD",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554325",
"telephone_number": "717-972-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WASHINGTON BLVD FL 2",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069028904",
"telephone_number": "475-268-0030",
"fax_number": "475-268-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAISWAL",
"first_name": "PAVAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.