MR. JASON DESOMBRE (PT) – Physical Therapist, NPI 1457306383

MR. JASON DESOMBRE (PT) is a healthcare provider. based in Brookfield, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 006603 (CT). The NPI Number for MR. JASON DESOMBRE (PT) is 1457306383

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON DESOMBRE (PT)
NPI
1457306383
Phone
(203) 740-0020
Address
31 OLD ROUTE 7
Enumeration Date
22 May 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033372600
Graduation Year
1998 (28 years ago)
PAC ID
1153594148
Group Practice PAC ID
8820037898
Professional Enrollment ID
I20111108000558
Address ID
CT068255508FA305XXTPKE400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for MR. JASON DESOMBRE (PT)

  • 31, Old Route 7, Brookfield, Fairfield County, Connecticut, 06804, United States

    CREDENTIALING DEPT

    BROOKFIELD, CT 068041714

    Phone: (203) 740-0020

    Fax: (203) 775-0238

    Type: Mailing

  • CT Braces, 3909, Main Street, Bridgeport, Fairfield County, Connecticut, 06606, United States

    BRIDGEPORT, CT 066062815

    Phone: (203) 374-9800

    Fax: (203) 374-9803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111108000558IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06804)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820037898View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Family PracticeCT
Occupational Therapist In Private PracticeCT
Orthopedic Surgery, Sports MedicineCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

What NPI should I save for MR. JASON DESOMBRE (PT)?
Save NPI 1457306383 if you need a stable reference for MR. JASON DESOMBRE (PT).
Is MR. JASON DESOMBRE (PT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MR. JASON DESOMBRE (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MR. JASON DESOMBRE (PT). Clinical services aligned with this taxonomy classification.
Where does public data place MR. JASON DESOMBRE (PT)?
The snapshot lists Brookfield, Connecticut for MR. JASON DESOMBRE (PT); download NPPES for the complete set.
How can I contact MR. JASON DESOMBRE (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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