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JACOB CHWIEDZ DPT
NPI 1780290882
Physical Therapist - Orthopedic in Colchester, CT

Active since September 23, 2020Accepts Medicare Assignment
179 LINWOOD AVE UNIT A-4, COLCHESTER, CT 06415(860) 603-3900 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Chwiedz Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB CHWIEDZ DPT (NPI 1780290882) is an individual orthopedic provider in Colchester, Connecticut, licensed in Connecticut (12771) and active in the NPI registry since September 2020. He maintains a secondary practice location in Madison and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780290882
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJACOB CHWIEDZCredential: DPT
Location Address179 LINWOOD AVE UNIT A-4Colchester, CT 06415-1160
Mailing Address27 Christina CtClinton, CT 06413-1054 · (860) 977-7939
Phone(860) 603-3900
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1780290882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CT · 12771
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
179 LINWOOD AVE UNIT A-4, Colchester, CT 06415
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Secondary Practice Location 1

Location 11291 Boston Post RdMadison, CT 06443-3476 · Phone (203) 245-0001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Chwiedz Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224564729
PECOS Enrollment IDI20241206003066

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES VINCENT BIANCHI III DPT
Physical Medicine & Rehabilitation
179 LINWOOD AVE UNIT A-4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 603-3900
ALLISON NICOLE WAGNER DPT
Physical Therapist
179 LINWOOD AVE UNIT A-4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 603-3900
BETHANY A LADD DPT
Physical Therapist
179 LINWOOD AVE UNIT A-4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 603-3900
MRS. REBECCA LYNN MULCAHY PTA
Physical Medicine & Rehabilitation
179 LINWOOD AVE UNIT A-4
COLCHESTER, CT 06415
Southeastern Connecticut Planning Region (860) 603-3900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Chwiedz's NPI number?

The NPI number for Jacob Chwiedz is 1780290882. It was assigned to this individual provider in the NPPES registry on September 23, 2020.

Where is Jacob Chwiedz located?

Jacob Chwiedz practices at 179 Linwood Ave Unit A-4, Colchester, CT 06415. The listed phone number is (860) 603-3900.

What is Jacob Chwiedz's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Jacob Chwiedz enrolled in Medicare?

Yes. Jacob Chwiedz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Chwiedz was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.