Individual provider Active NPI

Michael J Sowinski, PT, DPT

  • Physical Therapist
  • Bridgewater, NJ
National Provider Identifier
1083157655
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01707600 Issued in NJ
Practice address
1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921
Phone
(732) 427-8171
Fax
(732) 855-9755
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01707600 NJ Primary

Addresses

Primary practice location

1081 Route 22 Ste 204
Bridgewater, NJ 08807-2921

Mailing address

PO Box 1014
Clark, NJ 07066-1014
Phone (732) 855-9751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230920002438 MD Practitioner - Physical Therapist in Private Practice 1254612070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4 Oaks Physical Therapy, LLCGroup PAC ID 1759604838, 18 clinicians

Practice addresses (Care Compare)

10632 Little Patuxent Pkwy
Suite 123
Columbia, MD 21044-6285
Phone (443) 917-2973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29542MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
4 Oaks Physical Therapy of Harford County Physical Therapist CurrentSince May 6, 2025 Accepting new patients
4 Oaks Physical Therapy, LLC. Physical Therapist CurrentSince Jul 24, 2023 Accepting new patients
William J Pogoda MD PA CurrentSince May 6, 2025 Accepting new patients

Locations

2000 Century Plz
Columbia, MD 21044
Phone (410) 740-4802

10632 Little Patuxent Pkwy
Ste 123
Columbia, MD 21044
Phone (443) 917-2973

1413 Madison Park Dr
Ste 100
Glen Burnie, MD 21061
Phone (443) 583-3757

9 Schilling Rd
Ste LL3
Hunt Valley, MD 21031
Phone (410) 229-9800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1083157655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 ROUTE 22 STE 204",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072921",
            "telephone_number": "732-427-8171",
            "fax_number": "732-855-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWINSKI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01707600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.