Individual provider Active NPI

Ryan M Sisti

  • Speech-Language Pathologist
  • Indianapolis, IN
National Provider Identifier
1225322845
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
8523 Promontory Rd
Indianapolis, IN 46236-9277
Phone
(574) 360-3049
NPI assigned
May 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

8523 Promontory Rd
Indianapolis, IN 46236-9277

Mailing address

8523 Promontory Rd
Indianapolis, IN 46236-9277
Phone (574) 360-3049

Other practice location 1

8523 Promontory Rd
Indianapolis, IN 46236-9277
Phone (574) 360-3049

Other practice location 2

2104 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1316
Phone (850) 862-3728

Other practice location 3

6329 South East St. Ste A
Indianapolis, IN 46227
Phone (317) 791-9031

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

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Children'S Therapy, LLC Speech-Language Pathologist PastSince Sep 8, 2019 Accepting new patients
Complete Rehabilitation Services, Inc. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1225322845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 PROMONTORY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369277",
            "telephone_number": "574-360-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8523 PROMONTORY RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369277",
            "telephone_number": "574-360-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8523 Promontory Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462369277",
            "country_code": "US",
            "telephone_number": "574-360-3049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2104 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471316",
            "country_code": "US",
            "telephone_number": "850-862-3728",
            "fax_number": "850-862-6270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6329 South East St. Ste A",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46227",
            "country_code": "US",
            "telephone_number": "317-791-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISTI",
        "first_name": "RYAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.