Keith Sobkowiak, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

008628 Issued in CT

Practice address

20 Chapel St
Wallingford, CT 06492-2213

Phone

(203) 741-9948

Fax

(203) 741-9950

NPI assigned

Sep 15, 2009

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Center of Bristol LLCGroup PAC ID 4385537075, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Physical Therapy Center of Bristol, LLC

  dba FYZICAL Therapy & Balance Center

  • Physical Therapy Clinic/Center
  • Bristol, CT
  • NPI 1396893590

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Greylock Audiology LLC

  • Audiologist
  • Pittsfield, MA
  • NPI 1811448228
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1376876920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 TOWN FARM RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CHAPEL ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922213",
            "telephone_number": "203-741-9948",
            "fax_number": "203-741-9950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 North St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014111",
            "country_code": "US",
            "telephone_number": "413-337-3674",
            "fax_number": "413-442-9701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 Pine St Unit A",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060106960",
            "country_code": "US",
            "telephone_number": "860-585-5800",
            "fax_number": "860-585-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1090 Meriden Waterbury Tpke",
            "address_purpose": "LOCATION",
            "city": "Plantsville",
            "state": "CT",
            "postal_code": "064792055",
            "country_code": "US",
            "telephone_number": "203-272-8490",
            "fax_number": "203-272-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBKOWIAK",
        "first_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26154",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "008628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gina M Smith, APRN
• Brian Sniffin, DPT
• Diane Solano, LCSW
• Jennifer M Soldi, LCSW
• Solinsky Eyecare LLC
• Leomerto Somera, MD
• Wendy Somers, LCSW

• Orthopedic Physical Therapist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.