Individual provider Active NPI

Jennifer M Sosnowski, DPT

  • Pediatric Physical Therapist
  • Pasadena, CA
National Provider Identifier
1952556854
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
35799 Issued in CA
Practice address
200 E del Mar Blvd
Suite 104
Pasadena, CA 91105-2544
Phone
(626) 796-6249
Fax
(626) 796-6252
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 35799 CA Primary

Addresses

Primary practice location

200 E del Mar Blvd
Suite 104
Pasadena, CA 91105-2544

Mailing address

5877 Encino Ave
Encino, CA 91316-1220
Phone (585) 356-7185

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

State licenses

LicenseStateTypeSpecialty
35799CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1952556854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 ENCINO AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161220",
            "telephone_number": "585-356-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E DEL MAR BLVD",
            "address_2": "SUITE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052544",
            "telephone_number": "626-796-6249",
            "fax_number": "626-796-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSNOWSKI",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "35799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.