Sisu Sports Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

60131890 Issued in WA

Legal business name

SISU SPORTS PHYSICAL THERAPY, PLLC

Practice address

11736 8TH Ave NE
Seattle, WA 98125-4916

Phone

(309) 826-7430

NPI assigned

Jan 19, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Elissa Somers, DPT

Title

Ownder

Phone

(309) 826-7430

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1518404243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11736 8TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254916",
            "telephone_number": "309-826-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11736 8TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254916",
            "telephone_number": "309-826-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU SPORTS PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNDER",
        "authorized_official_telephone_number": "309-826-7430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "60131890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Sisler
• Ayrron Sisley, PHARMD
• Kathryn Sisson, EAMP
• Nathaniel Bergeron Sisson, MD
• Sisters of Providence in Washington
• Samantha Sites
• David Ravi Sitlani, MA
• Shelly Kaye Sitler-Metallo, RN, IBCLC
• Barbara J Sitsch, NP
• Bay Sittler, ARNP

• Physical Therapy Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.