Gregory Sousa, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02366000 Issued in NJ

Practice address

100 Commons Way Ste 120
Holmdel, NJ 07733-2937

Phone

(732) 450-2920

NPI assigned

May 1, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Hackensack Meridian Outpatient Services, Inc.

  • Physical Therapist
  • Clark, NJ
  • NPI 1982381026
  Medicare reassignment

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1104763622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 APACHE TRL",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287884",
            "telephone_number": "316-200-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS WAY STE 120",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332937",
            "telephone_number": "732-450-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA",
        "first_name": "GREGORY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02366000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile Works Dental Center PA.
• So Chiropractic Wellness PLLC
• Jonathan So, DC
• Siu So, L. AC.
• Soulful Speech LLC
• Spare Pair IV
• James Michael Spitalny, ED.D.
• Srinivas Pavuluri, MD, PA
• David Srulevich, D.C.
• Melinda J Staiger, MD

• Physical Therapist in Holmdel, NJ
• Providers in Holmdel, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.