Active NPI
Erwin Sison, P.T.
- Physical Therapist
- Bronx, NY
National Provider Identifier
1588089486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 032355-1
- Practice address
- 3201 Grand Concourse
Suite 1a
Bronx, NY 10468-1247 - Phone
- (718) 365-3747
- Fax
- (718) 365-3749
- NPI assigned
- Feb 28, 2014
- 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 Therapist | 225100000X | 032355-1 | NY | Primary |
Addresses
Primary practice location
3201 Grand Concourse
Suite 1a
Bronx, NY 10468-1247
Mailing address
9030 55TH Ave
3
Elmhurst, NY 11373-4561
Phone (773) 575-3644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032355 | Other | NY | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032355-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allmed Solutions | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Other Specialist/Technologist
- Bronx, NY
- NPI 1902264104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1588089486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 55TH AVE",
"address_2": "3",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734561",
"telephone_number": "773-575-3644",
"fax_number": "718-365-3749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 GRAND CONCOURSE",
"address_2": "SUITE 1A",
"city": "BRONX",
"state": "NY",
"postal_code": "104681247",
"telephone_number": "718-365-3747",
"fax_number": "718-365-3749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISON",
"first_name": "ERWIN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-28",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "032355-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "032355",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.