Sisson&Associates LLC

Organization Active NPI Physical Therapist · Montross, VA

NPI 1245768514 · NPPES record last updated May 31, 2017

Key facts

NPI
1245768514
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
2305210513 (VA)
Legal business name
SISSON&ASSOCIATES LLC
Practice address
17248 Kings Hwy
Montross, VA 22520-2724
Phone
(804) 269-1588
NPI assigned
May 31, 2017
Organization subpart
No

Authorized official

Name
Arnan Lee Sisson, MSPT
Title
Authorized Official/Sole Member
Phone
(804) 269-7158

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20171102001273 VA Part B Supplier - Clinic/Group Practice 5991061236 Receives reassigned benefits from 3 practitioners
Practice locations: Montross, VA

National Provider Directory

Locations

17248 Kings Hwy
Montross, VA 22520
Phone (804) 269-1588

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 2305210513 VA Yes

Addresses

Primary practice location

17248 Kings Hwy
Montross, VA 22520-2724

Mailing address

PO Box 579
Montross, VA 22520-0579
Phone (804) 269-1588

Other names

  • Physical Therapy & Wellness Doing business as

Other providers in Montross, VA

All providers in Montross, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.