Joshua Salao Siyavong

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30166 Issued in AZ

Practice address

444 W Osborn Rd Ste 303
Phoenix, AZ 85013-3820

Phone

(602) 279-8022

NPI assigned

Aug 9, 2018

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BD Health and Wellness Solutions LLCGroup PAC ID 6305375460, 3 clinicians

Practice addresses (Care Compare)

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.

• BD Health & Wellness Solutions LLC

  • Physical Therapist
  • Goodyear, AZ
  • NPI 1659187904

  AZ, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Strength Training Inc

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1518925569

  AZ, Physical Therapist

  Medicare reassignment NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684

  AZ

  Medicare reassignment
• BHSM Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Casa Grande, AZ
  • NPI 1679098628
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• BHSM Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• Recovia LLC

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1386313864
  NPD (past)
• Recovia LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Phoenix, AZ
  • NPI 1568139616
  NPD (past)
• Strength Training Inc

  • Customized Equipment (DME)
  • Phoenix, AZ
  • NPI 1356552996
  NPD (past)

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1508345596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17233 N HOLMES BLVD STE 1650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532030",
            "telephone_number": "602-547-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W OSBORN RD STE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133820",
            "telephone_number": "602-279-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17233 N Holmes Blvd Ste 1650",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850532030",
            "country_code": "US",
            "telephone_number": "602-547-1836",
            "fax_number": "602-547-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIYAVONG",
        "first_name": "JOSHUA",
        "middle_name": "SALAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott William Siverhus, MD
• Adam Joseph Siwek, DO
• Beth Siwek, RD, RN, MPH
• Steven Mark Siwek, MD
• Six Chiropractic, LLC
• Sizewise Rentals LLC
• SJ Medical Group
• Sjhmc Physician Services
• James M. Skaalen, D.D.S.
• Ariel Ben Skalina, M.S.W

• All providers in Phoenix, AZ
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.