Sirisha Mandadi, PT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

025369 Issued in NY

Practice address

60 Central Ave
Cortland, NY 13045-2795

Phone

(607) 756-3401

Fax

(607) 756-3483

NPI assigned

Sep 10, 2010

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nysarc Inc.

  • Clinic/Center
  • Oneida, NY
  • NPI 1427113547
  NPD (past)

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1568779650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452795",
            "telephone_number": "607-756-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CENTRAL AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452795",
            "telephone_number": "607-756-3401",
            "fax_number": "607-756-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDADI",
        "first_name": "SIRISHA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "025369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ann Macneill, LCSW-R
• Courtney Marie Maerose, LCSW
• Michael A Makayan, M.D.
• Jagadish C Malakar, M.D.
• Melanie Malone, R.N.
• Alexis Kaitlyn Marchitte, PT, DPT, ATC
• Ann F Mares, RN
• Blake M Marson, M.D.
• Melissa Kristen Martin
• Christina M Martino, NP

• Community Health Worker in Cortland, NY
• Providers in Cortland, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.