Individual provider Active NPI

Julie Patricia Sowa, P.T.

  • Physical Therapist
  • Shelby Township, MI
National Provider Identifier
1104874726
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501300547 Issued in MI
Practice address
47100 Schoenherr Rd
Suite E
Shelby Township, MI 48315-4716
Phone
(586) 685-0505
Fax
(586) 685-0501
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 5501300547 MI Primary

Addresses

Primary practice location

47100 Schoenherr Rd
Suite E
Shelby Township, MI 48315-4716

Mailing address

4726 Woodland Brook CT SE
Atlanta, GA 30339-1572
Phone (122) 567-3573

Other names 1

  • Ms. Julie Patricia Kwiecinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501300547MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Raafat Issa,MD,LLC Past Accepting new patients
Pro Active Physical Therapy Inc. Physical Therapist Past Accepting new patients
Century 2 Therapy Franklin Road Center, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1104874726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 WOODLAND BROOK CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391572",
            "telephone_number": "122-567-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47100 SCHOENHERR RD",
            "address_2": "SUITE E",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154716",
            "telephone_number": "586-685-0505",
            "fax_number": "586-685-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOWA",
        "first_name": "JULIE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501300547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "KWIECINSKI",
            "middle_name": "PATRICIA",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.