Active NPI
Amy Nicole Sieczkowski, PT
- Physical Therapist
- Storrs, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09583
- Practice address
- 9 Dog LN
Suite 108
Storrs, CT 06268 - Phone
- (860) 429-0899
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 09583 | CT | Primary |
Addresses
Primary practice location
9 Dog LN
Suite 108
Storrs, CT 06268
Mailing address
9 Dog Lane
Suite 108
Storrs, CT 06268
Phone (860) 429-0899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 E Main St
Clinton, CT 06413-2200
Phone (860) 774-0901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9583 | CT | MD | Pharmacist |
| 09583 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma Inc | Current | Accepting new patients | |
| Focus Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Focus Physical Therapy,LLC | Physical Therapist | Past | Accepting new patients |
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients |
Locations
215 E Main St
Clinton, CT 06413
Phone (860) 669-6636
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
Organizations & group practices 6
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pawcatuck, CT
- NPI 1033773759
Physical Therapist
-
- Physical Therapy Clinic/Center
- Mystic, CT
- NPI 1376096313
Physical Therapist
-
dba First Physical Therapy
- Physical Therapy Clinic/Center
- Westerly, RI
- NPI 1902094758
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Palm Harbor, FL
- NPI 1932109071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352246400000",
"number": "1093991333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DOG LANE",
"address_2": "SUITE 108",
"city": "STORRS",
"state": "CT",
"postal_code": "06268",
"telephone_number": "860-429-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DOG LN",
"address_2": "SUITE 108",
"city": "STORRS",
"state": "CT",
"postal_code": "06268",
"telephone_number": "860-429-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIECZKOWSKI",
"first_name": "AMY",
"middle_name": "NICOLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2012-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "09583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Storrs, CT
- Laura J Sczurek, APRN
- Sofia Segura-Perez, RD
- Select Physical Therapy of Connecticut Limited Partnership (Select Physical Therapy)
- Melissa Claire Sheardwright, PH.D.
- Madison Frances Shuler
- Ashley Smith, PSYD
- Speech in the Trees
- State of Connecticut (UConn Health Ancillary Services)
- Rostyslav I Stepanenko, DMD
- Storrs Drug,Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.