Jarrett Michaels, DPT
Physical Therapist in Bridgeport, CT. Individual provider (NPI-1).
NPI number1104585355
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1104585355
- Entity type
- Individual (NPI-1)
- Name
- Jarrett Michaels
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 15, 2021
- Last updated
- Dec 15, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 013249 | CT | Yes |
Practice location
267 Grant StBridgeport, CT 06610-2805
Phone 203-384-3000
Mailing address
474 Hart StBristol, CT 06010-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 68 Physical Therapist providers in Bridgeport · All 3,629 providers in Bridgeport
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