Individual provider Active NPI

Toni D. Sibalich, PT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1437488111
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-001938 Issued in KY
Practice address
1600 Scottsville Rd
Suite 101
Bowling Green, KY 42104-3217
Phone
(270) 781-0028
Fax
(270) 781-0007
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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 PT-001938 KY Primary

Addresses

Primary practice location

1600 Scottsville Rd
Suite 101
Bowling Green, KY 42104-3217

Mailing address

PO Box 391
Bowling Green, KY 42102-0391
Phone (270) 781-0028

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

State licenses

LicenseStateTypeSpecialty
PT-001938KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehab Group, LLC Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 2

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": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1437488111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421020391",
            "telephone_number": "270-781-0028",
            "fax_number": "270-781-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SCOTTSVILLE RD",
            "address_2": "SUITE 101",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043217",
            "telephone_number": "270-781-0028",
            "fax_number": "270-781-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBALICH",
        "first_name": "TONI",
        "middle_name": "D.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-001938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.