Individual provider Active NPI

Stephanie Sidoni, DPT

  • Physical Therapist
  • Syracuse, NY
National Provider Identifier
1609830256
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027910 Issued in NY
Practice address
4994 W Seneca Tpke
Syracuse, NY 13215-2279
Phone
(315) 469-5990
Fax
(315) 469-5650
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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 027910 NY Primary

Addresses

Primary practice location

4994 W Seneca Tpke
Syracuse, NY 13215-2279

Mailing address

231 Walton St
Suite 231
Syracuse, NY 13202-1230
Phone (315) 478-0380

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Orthopedic Specialists, PC CurrentSince Jun 2, 2014 Accepting new patients
Syracuse Orthopedic Specialists, PLLC CurrentSince Jun 2, 2014 Accepting new patients

Locations

5823 Widewaters Pkwy
East Syracuse, NY 13057
Phone (315) 426-0190

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

4994 W Seneca Tpke
Syracuse, NY 13215
Phone (315) 469-5400

Interoperability endpoints

  • Direct secure messaging: ssidoni@sosbones.medentdirect.com

Organizations & group practices 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1609830256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WALTON ST",
            "address_2": "SUITE 231",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132021230",
            "telephone_number": "315-478-0380",
            "fax_number": "315-478-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 W SENECA TPKE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152279",
            "telephone_number": "315-469-5990",
            "fax_number": "315-469-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDONI",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.