Individual provider Active NPI

Pamela K. Sills, C.M.T., H.H.P.

  • Mechanotherapist
  • Crown Point, IN
National Provider Identifier
1235326315
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
N/A Issued in NU
Practice address
5201 Fountain Dr
Suite F
Crown Point, IN 46307-5324
Phone
(219) 736-9262
Fax
(219) 736-9264
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X N/A NU Primary

Addresses

Primary practice location

5201 Fountain Dr
Suite F
Crown Point, IN 46307-5324

Mailing address

5201 Fountain Dr
Suite F
Crown Point, IN 46307-5324
Phone (219) 736-9262

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

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1235326315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 FOUNTAIN DR",
            "address_2": "SUITE F",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075324",
            "telephone_number": "219-736-9262",
            "fax_number": "219-736-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 FOUNTAIN DR",
            "address_2": "SUITE F",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075324",
            "telephone_number": "219-736-9262",
            "fax_number": "219-736-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "PAMELA",
        "middle_name": "K.",
        "credential": "C.M.T., H.H.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.