Brian John Sidiski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

017372 Issued in NY

Practice address

111 Northern Pkwy W
Plainview, NY 11803-1932

Phone

(516) 690-7434

NPI assigned

Mar 19, 2019

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Team Care Medical PLLC

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1093531691
  Medicare reassignment

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1497214449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHERN PKWY W",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031932",
            "telephone_number": "516-690-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHERN PKWY W",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031932",
            "telephone_number": "516-690-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDISKI",
        "first_name": "BRIAN",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parichehr Shoureshi, PHARMD
• David Shukhman, DO
• Richard Shulman
• Farina Ijaz Sial, PA
• Bilal Siddiqui, MD
• Araj Sidki, D.O.
• Joseph Sidoti, RPH
• Melissa Siegel, LCSW
• Jerry Paul Siegelstein, M.S. RPH
• Michelle Siegelwax

• Physical Therapist in Plainview, NY
• Providers in Plainview, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.