Active NPI
Teresa Sienkiewicz, M.S., P.T.
- Physical Therapist
- Newton, MA
National Provider Identifier
1538215785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11211
- Practice address
- 1155 Boylston St
Newton, MA 02464-1014 - Phone
- (617) 969-8995
- Fax
- (617) 332-4314
- NPI assigned
- Jan 27, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 11211 | MA | Primary |
Addresses
Primary practice location
1155 Boylston St
Newton, MA 02464-1014
Mailing address
1155 Boylston St
Newton, MA 02464-1014
Phone (617) 969-8995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y67430 | Other | MA | BLUE CROSS - BLUE SHIELD |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11211 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538215785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 BOYLSTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641014",
"telephone_number": "617-969-8995",
"fax_number": "617-332-4314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 BOYLSTON ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641014",
"telephone_number": "617-969-8995",
"fax_number": "617-332-4314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIENKIEWICZ",
"first_name": "TERESA",
"name_prefix": "Ms.",
"credential": "M.S., P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - BLUE SHIELD",
"identifier": "Y67430",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
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.