John Gerald Sia Tio

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

1106656 Issued in TX

Practice address

5714 104TH St
Lubbock, TX 79424-6246

Phone

(806) 319-4195

NPI assigned

Sep 11, 2018

Sex

Male

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

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1679056139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 104TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 104TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794246246",
            "telephone_number": "806-319-4195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIO",
        "first_name": "JOHN GERALD",
        "middle_name": "SIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1106656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deharnel Torres Timbang, RN
• Maricar Sagum Timbang
• Matthew David Timberlake, M.D.
• Erica Denise Timmons, DIAGNOSTICIAN
• Olivia Rachel Tincher, DO
• Cynthia Tiongco
• Amy Tippy, PA
• Cristi Tipton
• Nadene Tipton, DDS, MS
• Roger Tipton, DDS, MS, PA

• Geriatric Physical Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Geriatric Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.