Active NPI
Raymond Willard Sisler III, PTA
- Physical Therapy Assistant
- Toledo, OH
National Provider Identifier
1497878276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4590
- Practice address
- 7120 Port Sylvania Dr
Toledo, OH 43617 - Phone
- (419) 843-7437
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 4590 | OH | Primary |
Addresses
Primary practice location
7120 Port Sylvania Dr
Toledo, OH 43617
Mailing address
2440 Genoa Road
Perrysburg, OH 43551
Phone (419) 343-4769
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4590 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497878276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 GENOA ROAD",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "43551",
"telephone_number": "419-343-4769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7120 PORT SYLVANIA DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43617",
"telephone_number": "419-843-7437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISLER",
"first_name": "RAYMOND",
"middle_name": "WILLARD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "4590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.