Active NPI
Eduardo M Sia III, DPT
- Physical Therapist
- Northglenn, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01944000
- Practice address
- 420 E 120TH Ave
Northglenn, CO 80233-1127 - Phone
- (303) 280-3838
- NPI assigned
- Sep 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP029811T | CO | |
| Physical Therapist | 225100000X | 40QA01944000 | NJ | Primary |
Addresses
Primary practice location
420 E 120TH Ave
Northglenn, CO 80233-1127
Mailing address
100 High St
Eatontown, NJ 07724-3424
Phone (732) 766-2107
Other practice location 1
100 High St
Eatontown, NJ 07724-3424
Phone (732) 766-2107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219003183 | AZ | Practitioner - Physical Therapist in Private Practice | 6002266988 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP029811T | CO | MD | Physical Therapist |
| 40QA01944000 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| BHSM Rehabilitation, LLC | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404
2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211
17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033
5002 S Mill Ave
Ste 105
Tempe, AZ 85282
Phone (602) 512-8607
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- Bullhead City, AZ
- NPI 1093681033
-
- Physical Therapy Clinic/Center
- Gilbert, AZ
- NPI 1497271431
-
- Physical Therapy Clinic/Center
- Thornton, CO
- NPI 1982654190
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1043096845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "EATONTOWN",
"state": "NJ",
"postal_code": "077243424",
"telephone_number": "732-766-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 120TH AVE",
"city": "NORTHGLENN",
"state": "CO",
"postal_code": "802331127",
"telephone_number": "303-280-3838"
}
],
"practiceLocations": [
{
"address_1": "100 High St",
"address_purpose": "LOCATION",
"city": "Eatontown",
"state": "NJ",
"postal_code": "077243424",
"country_code": "US",
"telephone_number": "732-766-2107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIA",
"first_name": "EDUARDO",
"middle_name": "M",
"name_suffix": "III",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "CP029811T",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01944000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northglenn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.