Individual provider Active NPI

Todd Michael Wilkowski, RPT, OCS

  • Physical Therapist
  • Cos Cob, CT
National Provider Identifier
1770596827
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CT0007440 Issued in CT
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

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
061490NYMDDentist
7440CTMDPharmacist
CT0007440CTMDPhysical Therapist
016490NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shift Physical Therapy, PLLC Physical Therapist PastSince Apr 30, 2003 Accepting new patients
Performance Occupational & Physical Therapy, PLLC Physical Therapist PastSince Oct 23, 2006 Accepting new patients
Performance Physical Therapy of Darien LLC Physical Therapist PastSince Jul 14, 2015 Accepting new patients
Performance Physical Therapy of Hamden LLC Physical Therapist PastSince Nov 18, 2013 Accepting new patients
Greenwich Sports Medicine at Twin Rinks LLC PastSince Jan 21, 2017 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.

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.

Verify at the official NPI Registry.