Organization Active NPI

Ma. Teresa Sison Enciso PT. PC. Corp

  • Physical Therapist
  • Waynesville, MO
National Provider Identifier
1669666558
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
RO911 Issued in MO
Legal business name
MA. TERESA SISON ENCISO PT. PC. CORP
Practice address
124 Ichord Ave
Waynesville, MO 65583-5406
Phone
(573) 774-3684
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mrs. Ma. Teresa Sison Enciso, PT
Title
PT Director/President
Phone
(573) 774-3684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X RO911 MO Primary

Addresses

Primary practice location

124 Ichord Ave
Waynesville, MO 65583-5406

Mailing address

1207 Stratford LN
Rolla, MO 65401-3838
Phone (573) 774-3684

Other names 1

  • Therapy Partners Doing business as

National Provider Directory

National Provider Directory

Locations

124 Ichord Ave
Waynesville, MO 65583
Phone (573) 774-3684

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1669666558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 STRATFORD LN",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013838",
            "telephone_number": "573-774-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ICHORD AVE",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655835406",
            "telephone_number": "573-774-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA. TERESA SISON ENCISO PT. PC. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "ENCISO",
        "authorized_official_first_name": "MA. TERESA",
        "authorized_official_middle_name": "SISON",
        "authorized_official_title_or_position": "PT DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "573-774-3684",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "RO911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.