Active NPI
Todd Michael Wilkowski, RPT, OCS
- Physical Therapist
- Cos Cob, CT
National Provider Identifier
1770596827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CT0007440
- Practice address
- 35 River Rd
2ND Floor
Cos Cob, CT 06807-2717 - Phone
- (203) 422-0679
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 061490 | NY | |
| Physical Therapist | 225100000X | CT0007440 | CT | Primary |
Addresses
Primary practice location
35 River Rd
2ND Floor
Cos Cob, CT 06807-2717
Mailing address
PO Box 402
Cos Cob, CT 06807-0402
Phone (203) 905-9836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9 W Broad St
Suite 100
Stamford, CT 06902-3764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061490 | NY | MD | Dentist |
| 7440 | CT | MD | Pharmacist |
| CT0007440 | CT | MD | Physical Therapist |
| 016490 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shift Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Performance Occupational & Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Performance Physical Therapy of Darien LLC | Physical Therapist | Past | Accepting new patients |
| Performance Physical Therapy of Hamden LLC | Physical Therapist | Past | Accepting new patients |
| Greenwich Sports Medicine at Twin Rinks LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Westport, CT
- NPI 1700216967
-
- Sports Physician Chiropractor
- Stamford, CT
- NPI 1285184655
-
- Physical Therapist
- Darien, CT
- NPI 1548630189
-
dba Performance Hand Therapy
- Hand Occupational Therapist
- New York, NY
- NPI 1043394422
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1770596827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 402",
"city": "COS COB",
"state": "CT",
"postal_code": "068070402",
"telephone_number": "203-905-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 RIVER RD",
"address_2": "2ND FLOOR",
"city": "COS COB",
"state": "CT",
"postal_code": "068072717",
"telephone_number": "203-422-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKOWSKI",
"first_name": "TODD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPT, OCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "061490",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "CT0007440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.