Individual provider Active NPI

Svetlana Sidilkovskaia, DPT

  • Physical Therapist
  • Washington DC, DC
National Provider Identifier
1245634575
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29154 Issued in MD
Practice address
1444 I St NW
Suite LL
Washington DC, DC 20005
Phone
(202) 363-1011
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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 29154 MD Primary

Addresses

Primary practice location

1444 I St NW
Suite LL
Washington DC, DC 20005

Mailing address

1444 I St NW
Suite LL
Washington DC, DC 20005
Phone (202) 363-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912000685 DC Practitioner - Physical Therapist in Private Practice 9032659420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DC Luna Care Physical Therapy LLCGroup PAC ID 8325457468, 23 clinicians

Practice addresses (Care Compare)

1717 K St NW
Suite 900
Washington, DC 20006-5349
Phone (916) 232-3047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29154MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DC Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 29, 2024 Accepting new patients

Locations

1717 K St NW
Ste 900
Washington, DC 20006
Phone (916) 232-3047

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413331200000",
    "number": "1245634575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 I ST NW",
            "address_2": "SUITE LL",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20005",
            "telephone_number": "202-363-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 I ST NW",
            "address_2": "SUITE LL",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20005",
            "telephone_number": "202-363-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDILKOVSKAIA",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington DC, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.

Verify at the official NPI Registry.