Individual provider Active NPI

Michael Srokowski, DPT, OCS, FAAOMPT

  • Physical Therapist
  • Newington, CT
National Provider Identifier
1750729885
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9773 Issued in CT
Practice address
181 Patricia M Genova Dr
Newington, CT 06111-1500
Phone
(860) 696-2550
Fax
(860) 696-2525
NPI assigned
Jun 11, 2013
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 9773 CT Primary

Addresses

Primary practice location

181 Patricia M Genova Dr
Newington, CT 06111-1500

Mailing address

181 Patricia M Genova Dr
Newington, CT 06111-1500
Phone (860) 696-2550

Other practice location 1

61 S Main St Fl 1
West Hartford, CT 06107-2486
Phone (860) 733-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203002960 CT Practitioner - Physical Therapist in Private Practice 2961702550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Physical Therapy Specialists LLCGroup PAC ID 9638330236, 11 clinicians
Spruce Brook Enterprises IncGroup PAC ID 0244756930, 4 clinicians

Practice addresses (Care Compare)

11 Mill Pond Dr
Granby, CT 06035-2628
Phone (860) 413-9969

61 S Main St
FL 1
West Hartford, CT 06107-2486
Phone (860) 733-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9773CTMDPharmacist
9871CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Physical Therapy Specialists LLC Physical Therapist CurrentSince Aug 25, 2015 Accepting new patients
Spruce Brook Enterprises Inc Physical Therapist CurrentSince Nov 10, 2025 Accepting new patients

Locations

11 Mill Pond Dr
Granby, CT 06035
Phone (860) 413-9969

342 N Main St
Ste 150
West Hartford, CT 06117
Phone (860) 325-7481

61 S Main St
Fl 1
West Hartford, CT 06107
Phone (860) 733-1200

61 S Main St
West Hartfrd, CT 06107
Phone (860) 247-2530

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1750729885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2550",
            "fax_number": "860-696-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2550",
            "fax_number": "860-696-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 S Main St Fl 1",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061072486",
            "country_code": "US",
            "telephone_number": "860-733-1200",
            "fax_number": "860-866-4288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SROKOWSKI",
        "first_name": "MICHAEL",
        "credential": "DPT, OCS, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.