Sisley NG

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13050 Issued in MN

Practice address

3484 Savannah Ave
White Bear Lake, MN 55110-4579

Phone

(651) 235-4095

NPI assigned

Jul 12, 2023

Last updated

Dec 1, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, WI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

43.24 of 100Reported as group

Quality

73.53

Promoting interoperability

0

Improvement activities

0

Cost

70.6

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as apm

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: sng659737@excellian.direct.allina.com

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.

• Orthopedic Centers of Colorado, LLC

  dba Perioperative Medicine Care Center

  • Orthopaedic Surgery Physician
  • Denver, CO
  • NPI 1801339502
  Medicare reassignment Care Compare group
• St. Croix Regional Medical Center

  • Critical Access Hospital
  • Saint Croix Falls, WI
  • NPI 1043240922
  Medicare reassignment
• St. Croix Regional Medical Center

  • Rural Health Clinic/Center
  • Frederic, WI
  • NPI 1811256126
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1104505668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3484 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104579",
            "telephone_number": "651-235-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 SAVANNAH AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104579",
            "telephone_number": "651-235-4095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 S Behl St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "MN",
            "postal_code": "562081616",
            "country_code": "US",
            "telephone_number": "320-289-8503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124540",
            "country_code": "US",
            "telephone_number": "303-695-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "SISLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0019419",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Renae Nelson
• Ryan Nelson
• Tamara Quinlan Nelson, D.C.
• Bruce L Neubauer, DDS
• Newtrax
• Diem Ngoc Nguyen, PHARMD
• Joshua Vinh Nguyen
• Norah R Knabe, LMFT (Rosewood Family Therapy, Inc.)
• Elizabeth Jean Nordin, MD
• North Star Medical PLLC

• Physical Therapist in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.