John Michael Woznicki, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006747 Issued in CT

Practice address

455 Boston Post Rd
Old Saybrook, CT 06475-1516

Phone

(860) 395-1136

Fax

(860) 395-0895

NPI assigned

Jun 30, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Carlson Therapy Network, PC

  dba Carlson Procare

  • Physical Therapist
  • New Milford, CT
  • NPI 1114979226
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457380792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064751516",
            "telephone_number": "860-395-1136",
            "fax_number": "860-395-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNICKI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004254249",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilford Samson Family Dentistry
• William J. McCann M.D. P,C,
• Craig Stephen Wilson, DDS
• Cynthia Rose Wojtkowiak, RN IBCLC
• Laurel Wood, LCSW
• Diane Wright, APRN
• Nikki Antoinette Yee, O.D.
• Jayne Young, OT
• Donald Kevin Zettervall, RPH, CDE, CDM
• Joan Ziemann

• Physical Therapist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.