JACOB CHWIEDZ (DPT) – Orthopedic Physical Therapist, NPI 1780290882

JACOB CHWIEDZ (DPT) is a healthcare provider. based in Madison, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 12771 (CT). The NPI Number for JACOB CHWIEDZ (DPT) is 1780290882

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JACOB CHWIEDZ (DPT)
NPI
1780290882
Phone
(203) 245-0001
Address
1291 Boston Post Rd
Enumeration Date
23 September 2020
Last Update Date
23 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2036971067
Graduation Year
2020 (6 years ago)
PAC ID
8224564729
Group Practice PAC ID
8527968445
Professional Enrollment ID
I20241206003066
Address ID
CT064921832WA85XXXRDXX311
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for JACOB CHWIEDZ (DPT)

  • 1291 Boston Post Rd

    Madison, CT 064433476

    Phone: (203) 245-0001

    Type: Location

  • 27 CHRISTINA CT

    CLINTON, CT 064131054

    Phone: (860) 977-7939

    Type: Mailing

  • 179 LINWOOD AVE UNIT A-4

    COLCHESTER, CT 064151160

    Phone: (860) 603-3900

    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: 2024-12-06

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
I20241206003066IPhysical 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 06443)

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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: 8527968445View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What number should I use to identify JACOB CHWIEDZ (DPT) for billing?
Administrative and clinical systems typically use NPI 1780290882 for JACOB CHWIEDZ (DPT).
Quick check: is JACOB CHWIEDZ (DPT) active?
Public NPPES data shows JACOB CHWIEDZ (DPT) with an active NPI status right now.
What does the directory say JACOB CHWIEDZ (DPT) does?
Insurance directories may phrase it differently, but here JACOB CHWIEDZ (DPT) maps to Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Is JACOB CHWIEDZ (DPT) tied to Madison, Connecticut?
If you are local to Madison, Connecticut, JACOB CHWIEDZ (DPT) may be relevant to your search.
Why is information missing for JACOB CHWIEDZ (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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