Individual provider Active NPI

Katherine Sickelka, PT, DPT

  • Physical Therapist
  • Oro Valley, AZ
National Provider Identifier
1154930816
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
099096 Issued in IA
Practice address
12162 N Rancho Vistoso Blvd Ste 120
Oro Valley, AZ 85755-1898
Phone
(520) 229-0009
Fax
(520) 229-0007
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 099096 IA Primary

Addresses

Primary practice location

12162 N Rancho Vistoso Blvd Ste 120
Oro Valley, AZ 85755-1898

Mailing address

4725 Coventry LN NE
Cedar Rapids, IA 52402-7034
Phone (319) 213-4046

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
099096IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1154930816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 COVENTRY LN NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027034",
            "telephone_number": "319-213-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12162 N RANCHO VISTOSO BLVD STE 120",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551898",
            "telephone_number": "520-229-0009",
            "fax_number": "520-229-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKELKA",
        "first_name": "KATHERINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "099096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.