Active NPI
Michael D Sikorskas, PT
- Physical Therapist
- Lock Haven, PA
National Provider Identifier
1427059690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007553L
- Practice address
- 685 Island Rd
Lock Haven, PA 17745-8844 - Phone
- (570) 748-2678
- Fax
- (570) 748-4015
- NPI assigned
- Aug 10, 2005
- 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 | PT007553L | PA | Primary |
Addresses
Primary practice location
685 Island Rd
Lock Haven, PA 17745-8844
Mailing address
685 Island Rd
Lock Haven, PA 17745-8844
Phone (570) 748-2678
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001874773 | Medicaid | PA | |
| 966897 | Other | PA | BC/BS |
| 151392 | Other | PA | HEALTH AMERICA-IND. |
| 813956 | Other | PA | FIRST PRIORITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101008001156 | PA | Practitioner - Physical Therapist in Private Practice | 3375644628 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Mountain Physical Therapy Inc
Practice addresses (Care Compare)
685 Island Rd
Lock Haven, PA 17745-8844
Phone (570) 748-2678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Mountain Physical Therapy Inc | Specialist | Current | Accepting new patients |
Locations
685 Island Rd
Lock Haven, PA 17745
Phone (570) 748-2678
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": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1427059690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "685 ISLAND RD",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177458844",
"telephone_number": "570-748-2678",
"fax_number": "570-748-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 ISLAND RD",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177458844",
"telephone_number": "570-748-2678",
"fax_number": "570-748-4015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKORSKAS",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007553L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001874773",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "966897",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA-IND.",
"identifier": "151392",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY",
"identifier": "813956",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.