Individual provider Active NPI

Michael D Sikorskas, PT

  • Physical Therapist
  • Lock Haven, PA
National Provider Identifier
1427059690
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007553L Issued in PA
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

Updated by the provider on Sep 2, 2020

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 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

IdentifierTypeStateIssuer
001874773MedicaidPA
966897OtherPABC/BS
151392OtherPAHEALTH AMERICA-IND.
813956OtherPAFIRST PRIORITY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Central Mountain Physical Therapy Inc Specialist CurrentSince Sep 4, 2001 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.

Verify at the official NPI Registry.