Vadim Sychuk, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE009026 Issued in PA

Practice address

8300 W Ridge Rd
Girard, PA 16417

Phone

(814) 474-5521

Fax

(814) 474-9253

NPI assigned

Nov 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1003193103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 W 35TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W RIDGE RD",
            "city": "GIRARD",
            "state": "PA",
            "postal_code": "16417",
            "telephone_number": "814-474-5521",
            "fax_number": "814-474-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYCHUK",
        "first_name": "VADIM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Simpkins, BSN
• Kristina Marie Solvedt
• Darren J Strain
• Jessica Leah Sumner
• Donnelle Super, MSW
• Timothy Taylor II
• The a F Dobler Hose and Ladder
• The Tamarkin Company
• Carrie Todd
• Lisa Ann Treusch, MD

• Physical Therapy Assistant in Girard, PA
• Providers in Girard, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.