Active NPI
Joshua Daniel Sirkis, PT, DPT
- Physical Therapist
- Mena, AR
National Provider Identifier
1174166623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4679
- Practice address
- 300 Crestwood Cir
Mena, AR 71953-5515 - Phone
- (479) 216-2315
- Fax
- (479) 413-8090
- NPI assigned
- Oct 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 4679 | AR | Primary |
Addresses
Primary practice location
300 Crestwood Cir
Mena, AR 71953-5515
Mailing address
300 Crestwood Cir
Mena, AR 71953-5515
Phone (479) 216-2315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303127721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1311B Hwy 71 N
Mena, AR 71953-8447
Phone (479) 216-2315
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4679 | AR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Spine & Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1311B Highway 71 N
Mena, AR 71953
Phone (479) 216-2315
300B Crestwood Cir
Mena, AR 71953
Phone (479) 394-1833
300 Crestwood Cir
Mena, AR 71953
Phone (479) 394-1600
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 Therapy Clinic/Center
- Mena, AR
- NPI 1750085189
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732924800000",
"number": "1174166623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CRESTWOOD CIR",
"city": "MENA",
"state": "AR",
"postal_code": "719535515",
"telephone_number": "479-216-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CRESTWOOD CIR",
"city": "MENA",
"state": "AR",
"postal_code": "719535515",
"telephone_number": "479-216-2315",
"fax_number": "479-413-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRKIS",
"first_name": "JOSHUA",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-28",
"last_updated": "2024-11-30",
"certification_date": "2024-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303127721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mena, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.