Richard W Sibson, D.O.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

OS10707 Issued in FL

Practice address

421 E Central Blvd
#1304
Orlando, FL 32801-1654

Phone

(202) 230-7955

Fax

(888) 274-9026

NPI assigned

May 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1013175538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E CENTRAL BLVD",
            "address_2": "#1304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011654",
            "telephone_number": "202-230-7955",
            "fax_number": "888-274-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E CENTRAL BLVD",
            "address_2": "#1304",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011654",
            "telephone_number": "202-230-7955",
            "fax_number": "888-274-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBSON",
        "first_name": "RICHARD",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "5076",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS10707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339377",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00625185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pumla Sibanda
• Siblary W7 Corp
• Jennifer A Sibley, ARNP
• Sharon Marie Sibley, APRN
• Siblings Helping Hands 9 LLC
• Carly Siceloff, MS, RD, LDN
• Alexander Sidawi, DO
• Fouad Sidawi, DDS
• Hayden Sidd, BA, BCABA
• Siddhi PLLC

• Physical Medicine & Rehabilitation Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.