Individual provider Active NPI

Markian L Sonevytsky, PT

  • Physical Therapist
  • Parlin, NJ
National Provider Identifier
1831134634
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00956500 Issued in NJ
Practice address
3276 Washington Rd
Parlin, NJ 08859-1676
Phone
(732) 238-8484
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Ergonomics Physical Therapist 2251E1200X 0040QA00956500 NJ
Geriatric Physical Therapist 2251G0304X 0040QA00956500 NJ
Human Factors Physical Therapist 2251H1300X 0040QA00956500 NJ
Neurology Physical Therapist 2251N0400X 0040QA00956500 NJ
Pediatric Physical Therapist 2251P0200X 0040QA00956500 NJ
Sports Physical Therapist 2251S0007X 0040QA00956500 NJ
Orthopedic Physical Therapist 2251X0800X 40QA00956500 NJ
Physical Therapist 225100000X 40QA00956500 NJ Primary

Addresses

Primary practice location

3276 Washington Rd
Parlin, NJ 08859-1676

Mailing address

1180 Raritan Rd
PO Box 1014
Clark, NJ 07066-1311
Phone (732) 855-9751

Other identifiers 1

IdentifierTypeStateIssuer
105309DBDOtherNJMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070104000050 NJ Practitioner - Physical Therapist in Private Practice 6406856053 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proform Physical Therapy LLCGroup PAC ID 9436383114, 18 clinicians
Synaptic Rehabilitation LLCGroup PAC ID 3971835968, 19 clinicians

Practice addresses (Care Compare)

1077 State Route 34
Suite M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882

5 Boxwood Way
Warren, NJ 07059-6859
Phone (908) 801-6425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0040QA00956500NJMDErgonomics Physical Therapist
40QA00956500NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colonia Spine & Wellness Center PA CurrentSince Aug 15, 2016 Accepting new patients
Synaptic Rehabilitation, LLC Physical Therapist CurrentSince Sep 17, 2023 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 8, 2025 Accepting new patients
Health & Fitness Professionals LLC Physical Therapist CurrentSince Sep 9, 2021 Accepting new patients
Proform Physical Therapy LLC Physical Therapist CurrentSince Aug 8, 2025 Accepting new patients
Synaptic Rehab Bridgewater Physical Therapist PastSince Sep 17, 2023 Accepting new patients

Locations

15 Prospect Ln
Ste 1D
Colonia, NJ 07067
Phone (732) 661-1121

1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882

573 Amboy Ave
Woodbridge, NJ 07095
Phone (908) 282-3737

Organizations & group practices 6

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1831134634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RARITAN RD",
            "address_2": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661311",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3276 WASHINGTON RD",
            "city": "PARLIN",
            "state": "NJ",
            "postal_code": "088591676",
            "telephone_number": "732-238-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONEVYTSKY",
        "first_name": "MARKIAN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "0040QA00956500",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00956500",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00956500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "105309DBD",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parlin, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.