Sarah Jane Sisk

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502002363 Issued in MI

Practice address

4532 Hickory Rd Apt 2B
Mishawaka, IN 46545-2415

Phone

(269) 845-2018

NPI assigned

Mar 7, 2021

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

Other names 1

• Sarah Jane Brannon Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1114512571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 HICKORY RD APT 2B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452415",
            "telephone_number": "269-845-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 HICKORY RD APT 2B",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465452415",
            "telephone_number": "269-845-2018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Stateline Rd",
            "address_purpose": "LOCATION",
            "city": "Niles",
            "state": "MI",
            "postal_code": "491204797",
            "country_code": "US",
            "telephone_number": "269-684-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISK",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502002363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Niles",
            "affiliation": "N",
            "endpointDescription": "Nursing Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Stateline Rd",
            "city": "Niles",
            "state": "MI",
            "country_code": "US",
            "postal_code": "491204797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BRANNON",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Sikorski-Conklin
• Stephen M Simons, MD
• Neil James Sink, M.D.
• Catherine Hamilton Sinkhorn, MD
• Aisha Sirajuddin, RBT
• Cameron Sivley
• Rachel Skelton
• Sara Skodinski, MSW
• Donna M Skorupski, MSW
• Sleep Well Centers, LLC

• Physical Therapy Assistant in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.