Individual ProviderJason Stuart KirkPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832(203) 697-1067(203) 740-0020PECOS EnrollmentBased on the most recent information from CMS, provider Jason Stuart Kirk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1255373734Provider TypeIndividualFull NameKirk, Jason StuartCredentialPTGenderMaleEnumeration Date6/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address85 Barnes Rd, Suite 109, Wallingford, CT 06492-1832Phone(203) 697-1067Fax(203) 284-0492Mailing LocationMailing Address31 Old Route 7, Brookfield, CT 06804-1714Phone(203) 740-0020Fax(203) 775-0238Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense007153Connecticut