Individual provider Active NPI

Robertus Hendrikus Sier, PT

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1609376342
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004609 Issued in MI
Practice address
17101 Rotunda Dr
Dearborn, MI 48124-4084
Phone
(313) 791-4333
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501004609 MI Primary

Addresses

Primary practice location

17101 Rotunda Dr
Dearborn, MI 48124-4084

Mailing address

17101 Rotunda Dr
Dearborn, MI 48124-4084
Phone (313) 791-4333

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5501004609MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Healthcare Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1609376342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17101 ROTUNDA DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244084",
            "telephone_number": "313-791-4333",
            "fax_number": "313-791-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17101 ROTUNDA DR",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244084",
            "telephone_number": "313-791-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIER",
        "first_name": "ROBERTUS",
        "middle_name": "HENDRIKUS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.