Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Richard Kinsey, PTA

Individual provider Physical Therapy Assistant · NPI 1104161538

Jack Richard Kinsey, PTA is a Physical Therapy Assistant in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1 Emily Way
West Hartford, CT 06107-3136
Phone: (860) 561-7022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 000710 (CT)

Record details

NPI number1104161538
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 12, 2012
Last updated in NPPESDecember 12, 2012

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