Active NPI
Joann Sienkiewicz
- Physical Therapist
- Bangor, PA
National Provider Identifier
1144659194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-005451L
- Practice address
- 701 Slate Belt Blvd
Bangor, PA 18013-9341 - Phone
- (610) 588-6161
- Fax
- (610) 599-1400
- NPI assigned
- Nov 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | PT-005451L | PA | Primary |
Addresses
Primary practice location
701 Slate Belt Blvd
Bangor, PA 18013-9341
Mailing address
701 Slate Belt Blvd
Bangor, PA 18013-9341
Phone (610) 588-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-005451L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383955200000",
"number": "1144659194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 SLATE BELT BLVD",
"city": "BANGOR",
"state": "PA",
"postal_code": "180139341",
"telephone_number": "610-588-6161",
"fax_number": "610-599-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SLATE BELT BLVD",
"city": "BANGOR",
"state": "PA",
"postal_code": "180139341",
"telephone_number": "610-588-6161",
"fax_number": "610-599-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIENKIEWICZ",
"first_name": "JOANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-09",
"last_updated": "2013-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-005451L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, PA
- Rachael C Round, B.S COUNSELING
- Matthew Nicholas Sabatine Jr., DMD
- Kelly Ann Sarnowski, LCSW
- Steven Edward Senko Jr., DPT
- Dody Star Siegfried, MAPC
- Silver Living Home Care LLC
- Slate Belt Health & Rehabilitation Center, LLC
- Slate Belt Medical Equipment & Supplies Inc
- Slate Belt Optical & Hearing Center, LLC
- Slate Belt Optical & Hearing Center, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.