Martina Marie Sledziewski

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC017107 Issued in PA

Practice address

64 Ridgway Dr
Dallas, PA 18612-9263

Phone

(570) 255-4578

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1134728165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 BARRYS RD",
            "city": "WHITE HAVEN",
            "state": "PA",
            "postal_code": "186613515",
            "telephone_number": "570-926-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 RIDGWAY DR",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186129263",
            "telephone_number": "570-255-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEDZIEWSKI",
        "first_name": "MARTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay L Shalata, PA-C
• Matthew B Shaver Jr.
• Nicole Marie Silinskie, PA-C
• Andrew Simonik, PTA
• Heather Siskovich, P.T.
• Tara Smith, DPT
• Hailey Sobocinski, PT, DPT
• Robert Sorokas, PTA
• Joellen Spencer
• Duane R Sprau, DMD

• Occupational Therapist in Dallas, PA
• Providers in Dallas, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.