Timothy Sieng

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40589 Issued in FL

Practice address

6300 N Wickham Rd Ste 133B
Melbourne, FL 32940-2029

Phone

(321) 421-7117

NPI assigned

Jun 21, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peoples Physical Therapy Inc

  • Physical Therapist
  • Melbourne, FL
  • NPI 1932122132
  Medicare reassignment NPD

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1437993763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD STE 133B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD STE 133B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402029",
            "telephone_number": "321-421-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIENG",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Sibol
• Faryal Sonia Siddiqui, M.D.
• Sarah Fatima Siddiqui, D.O.
• Suzanne Siebert
• Judith Carol Siegler, PH.D., LMFT
• Rene Sierra
• Nancy Silva, ARNP
• Natasha Silva
• Rebecca Leanne Silva, MSN, APRN, FNP-C
• Silver Stagecoach, LLC

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.