JENNIFER DAWN COSMOPOULOS (DPT) – Physical Therapist, NPI 1699361824

JENNIFER DAWN COSMOPOULOS (DPT) is a healthcare provider. based in North franklin, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 006432 (CT). The NPI Number for JENNIFER DAWN COSMOPOULOS (DPT) is 1699361824

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER DAWN COSMOPOULOS (DPT)
NPI
1699361824
Phone
(860) 367-7838
Address
82 New Park Ave
Enumeration Date
11 December 2020
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4014571500
Graduation Year
1999 (27 years ago)
PAC ID
1052808268
Group Practice PAC ID
9931000395
Professional Enrollment ID
I20251013001985
Address ID
RI029053248PR2XXXXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:5State licenses:2Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for JENNIFER DAWN COSMOPOULOS (DPT)

  • 82 New Park Ave

    North Franklin, CT 062541807

    Phone: (860) 367-7838

    Type: Location

  • 110 Court St Ste 3

    Cromwell, CT 064161273

    Phone: (860) 613-9930

    Fax: (860) 613-9952

    Type: Location

  • 65 CHARLTON LN

    GROTON, CT 063407707

    Phone: (860) 367-7838

    Type: Mailing

  • 1 KETTLE POINT AVE

    EAST PROVIDENCE, RI 029145375

    Phone:

    Type: Mailing

  • 11 WELLS ST STE 1

    WESTERLY, RI 028912998

    Phone: (401) 443-5000

    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: 2025-10-13

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
I20251013001985IPhysical Therapist In Private PracticeRITBD

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 06254)

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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: 9931000395View full group profile
NameSpecialtyState
Orthopedic SurgeryRI
Physical Therapist In Private PracticeRI
Physical Therapist In Private PracticeMA
Orthopedic SurgeryRI
Orthopedic SurgeryRI
Nurse PractitionerRI
-RI
Orthopedic SurgeryRI
-RI
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

How is JENNIFER DAWN COSMOPOULOS (DPT) identified in CMS data?
CMS-hosted NPPES data lists JENNIFER DAWN COSMOPOULOS (DPT) with NPI 1699361824.
Can I rely on JENNIFER DAWN COSMOPOULOS (DPT) being an active provider?
As of the registry snapshot, JENNIFER DAWN COSMOPOULOS (DPT) is marked active.
What taxonomy line describes JENNIFER DAWN COSMOPOULOS (DPT)?
For research purposes, treat JENNIFER DAWN COSMOPOULOS (DPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does JENNIFER DAWN COSMOPOULOS (DPT) list a practice location?
Patients near North Franklin, Connecticut may find JENNIFER DAWN COSMOPOULOS (DPT) in results; validate coverage separately.
Is the information about JENNIFER DAWN COSMOPOULOS (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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