Active NPI
Sarah Siao
- Physical Therapist
- Westfield, IN
National Provider Identifier
1174072516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040807
- Practice address
- 14902 Shelborne Rd
Westfield, IN 46074-9668 - Phone
- (317) 286-2885
- Fax
- (317) 536-3097
- NPI assigned
- Sep 27, 2016
- 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 | 040807 | NY | Primary |
Addresses
Primary practice location
14902 Shelborne Rd
Westfield, IN 46074-9668
Mailing address
6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone (718) 456-2543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10170 Mason Ave
Chatsworth, CA 91311-3301
Phone (818) 678-9052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040807 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMC Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
Locations
10170 Mason Ave
Chatsworth, CA 91311
8349 Reseda Blvd
Ste C
Northridge, CA 91324
Phone (818) 678-9052
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Northridge, CA
- NPI 1225613169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1174072516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6805 FRESH POND RD",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113855200",
"telephone_number": "718-456-2543",
"fax_number": "718-799-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14902 SHELBORNE RD",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460749668",
"telephone_number": "317-286-2885",
"fax_number": "317-536-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAO",
"first_name": "SARAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "040807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.