Stacey Sipiorski

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11600-24 Issued in WI

Practice address

2999 N Mayfair Rd
Suite 300
Wauwatosa, WI 53222-4306

Phone

(414) 479-3737

Fax

(414) 479-3733

NPI assigned

Dec 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stacey Holl Former name

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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481760000000",
    "number": "1023552684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 N MAYFAIR RD",
            "address_2": "SUITE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224306",
            "telephone_number": "414-479-3737",
            "fax_number": "414-479-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N MAYFAIR RD",
            "address_2": "SUITE 300",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224306",
            "telephone_number": "414-479-3737",
            "fax_number": "414-479-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPIORSKI",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11600-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "HOLL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Ann Simpson, APNP
• Keri Sims, PHARM.D.
• Kathleen Jo Sinclair, PT
• Harmanjot Singh, DO
• Kanwardeep Singh, MD
• Kyle J Sirek, PT
• Lynnae Rae Sis, MT-BC
• Rachel Sitzman
• Elizabeth Skantz
• Katy Skarlatos, CPM

• Physical Therapist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.