Individual provider Active NPI

Monika Stefanowicz

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1205202744
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21945 Issued in MA
Practice address
124 Myron St
West Springfield, MA 01089-1420
Phone
(413) 781-7538
NPI assigned
Aug 19, 2015
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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 21945 MA Primary

Addresses

Primary practice location

124 Myron St
West Springfield, MA 01089-1420

Mailing address

168 Denslow Rd
East Longmeadow, MA 01028-3188
Phone (413) 526-9924

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

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1205202744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 DENSLOW RD",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010283188",
            "telephone_number": "413-526-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MYRON ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891420",
            "telephone_number": "413-781-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOWICZ",
        "first_name": "MONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.