Individual provider Active NPI

Sonja Wojtkowiak, PTA

  • Physical Therapy Assistant
  • Hilton Head, SC
National Provider Identifier
1679158992
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2983 Issued in SC
Practice address
15 N Main St
Hilton Head, SC 29926-4604
Phone
(843) 342-6566
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2983 SC Primary

Addresses

Primary practice location

15 N Main St
Hilton Head, SC 29926-4604

Mailing address

45 Folly Field Rd Apt 10F
Hilton Head, SC 29928-5484
Phone (803) 917-0459

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staylor13@brookdale.com Health Information Exchange (HIE)

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1679158992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 FOLLY FIELD RD APT 10F",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299285484",
            "telephone_number": "803-917-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N MAIN ST",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299264604",
            "telephone_number": "843-342-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJTKOWIAK",
        "first_name": "SONJA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "2983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staylor13@brookdale.com",
            "affiliation": "N",
            "endpointDescription": "secure work email via tablet",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 N Main St",
            "city": "Hilton Head",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299264604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilton Head, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.