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

Jessica Wally, PT

Individual provider Physical Therapist · NPI 1922580091

Jessica Wally, PT is a Physical Therapist in Private Practice in Southbury, Connecticut. Qualified in 2016, 10 years ago. Practices with Fox Rehab PT CT, LLC, a 78-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
10
Licensed in
CT
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

655 Main Sreet S
Southbury, CT 06488
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11342 (CT)

Record details

NPI number1922580091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESOctober 2, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Fox Rehab Pt Ct, Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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