Individual provider Active NPI

Jason Sosnowski, PT

  • Physical Therapist
  • West Bloomfield, MI
National Provider Identifier
1326447087
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501016747 Issued in MI
Practice address
33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322-3563
Phone
(248) 538-7607
Fax
(248) 538-7623
NPI assigned
Aug 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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 5501016747 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322-3563

Mailing address

33200 W 14 Mile Rd
Ste 160
West Bloomfield, MI 48322-3563
Phone (248) 538-7607

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
5501016747MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Physical Therapy LTD. Physical Therapist Past Accepting new patients
Dearborn Physical Therapy LTD. Physical Therapist Past Accepting new patients
Advanced Physical Therapy Center, Inc Physical Therapist 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": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1326447087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 160",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223563",
            "telephone_number": "248-538-7607",
            "fax_number": "248-538-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSNOWSKI",
        "first_name": "JASON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.