Kyle J. Sisler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 60362911 Issued in WA

Practice address

201 Tahoma Blvd
Ste 207
Yelm, WA 98597-7735

Phone

(360) 458-6400

Fax

(360) 458-6444

NPI assigned

Oct 18, 2013

Last updated

Jul 25, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bellingham Physical Therapy, PLLC

  • Physical Therapist
  • Bellingham, WA
  • NPI 1023016102
  Medicare reassignment NPD

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437782400000",
    "number": "1073941571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TAHOMA BLVD",
            "address_2": "STE 207",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985977735",
            "telephone_number": "360-458-6400",
            "fax_number": "360-458-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISLER",
        "first_name": "KYLE",
        "middle_name": "J.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-18",
        "last_updated": "2015-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60362911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan A Shepardson, LMP
• Judd Sherman, D.D.S.
• Sarah S Sherman, D.D.S.
• Jacqueline Shia
• Stephanie Shunk, LMFTA
• Martha Ann Sizemore
• Skyline Chiropractic
• Slate Family Services Foundations
• Slate Family Services, LLC
• Slate Family Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2015; 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.

Verify at the official NPI Registry.