Colin Sisco, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60194624 Issued in WA

Practice address

5025 25TH Ave NE Ste 201
Seattle, WA 98105-4152

Phone

(206) 524-6702

Fax

(206) 524-6703

NPI assigned

Jul 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kaizen Physical Therapy PLLCGroup PAC ID 2062756851, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaizen Physical Therapy, PLLC

  • Physical Therapist
  • Seattle, WA
  • NPI 1083195820
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1033423280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 123RD PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968900",
            "telephone_number": "253-347-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE STE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054152",
            "telephone_number": "206-524-6702",
            "fax_number": "206-524-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISCO",
        "first_name": "COLIN",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36880",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60194624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Esther Siretskiy, MD
• Joy Sirinpan, LMP
• Nicole Sirivansanti, LAC, EAMP
• Chance Seng Sirivong, PHARMD
• Som R Siriya
• David S Siscovick
• Cynthia Ann Sisk, M.A.
• Elizabeth Ann Siska, OTR/L
• Michael D Sisler
• Ayrron Sisley, PHARMD

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.