Phoenix Therapy Services, LLC
NPI 1255121158ActiveOrganization· Physical Therapist· Wallingford, CT
Physical Therapist in Wallingford, Connecticut, registered in NPPES in May 2025. The authorized official on file is Jessica L. Cronk, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1255121158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2025 |
| Last updated in NPPES | May 29, 2025 |
| Certified by provider | May 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (CT) |
|---|
Other Physical Therapist providers in Wallingford
- 1669994638
- 1396967725
- 1871770230
- 1417176462
- 1073632758
- 1265789911
- 1508299496
- 1629900709
- 1518381391
- 1497871610
- 1144216110
- 1396847414