Provider Demographics
NPI:1184082257
Name:SOKOLSKI PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:SOKOLSKI PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOKOLSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:631-379-7684
Mailing Address - Street 1:46 LEE LN
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3948
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 DEMING ST
Practice Address - Street 2:MAIN OFFICE
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-1778
Practice Address - Country:US
Practice Address - Phone:860-713-3325
Practice Address - Fax:860-432-0815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-04
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007873261QP2000X
CT008076261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy