Sisu Physical Therapy PLLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SISU PHYSICAL THERAPY PLLC

Practice address

2072 E Center Cir
Plymouth, MN 55441

Phone

(920) 988-5893

NPI assigned

Sep 16, 2021

Organization subpart

Yes

Parent organization

CROSSFIT SISU.As reported in NPPES

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

Authorized official

Name

Thomas Richards

Title

Coo

Phone

(920) 988-5893

Specialties & licenses 1

Addresses

Tax ID family

Sisu Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sisu Physical Therapy

  • Orthopedic Physical Therapist
  • Plymouth, MN
  • NPI 1508535170
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erienne Lauersdorf

  • Orthopedic Physical Therapist
  • Minneapolis, MN
  • NPI 1982138020
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1497425896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 E CENTER CIR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "920-988-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 E CENTER CIR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "920-988-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU PHYSICAL THERAPY PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSFIT SISU.",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "920-988-5893"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Simon, DPT
• Cristen Jayne Singer
• Kathryn Anne Singh
• Robert Michael Sinko, DDS
• Sisu Physical Therapy
• Abbie Siudzinski, ND
• SJDC LTD.
• Jessica Sklar, MA, LPCC
• Camryn Skoog
• Ronald Carl Skoogberg, MD

• Orthopedic Physical Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Orthopedic Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.