Active NPI
Daniel T. Sikon, PHYSICAL THERAPIST
- Physical Therapist
- Huntsburg, OH
National Provider Identifier
1679103246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6308
- Practice address
- 12496 Princeton Rd
Huntsburg, OH 44046-9792 - Phone
- (440) 635-5567
- NPI assigned
- Jan 22, 2020
- 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 | PT6308 | OH | Primary |
Addresses
Primary practice location
12496 Princeton Rd
Huntsburg, OH 44046-9792
Mailing address
33044 Ashdown Dr
Solon, OH 44139-5709
Phone (440) 382-8635
Other practice location 1
10190 Fairmount Rd
Newbury, OH 44065-9531
Phone (440) 338-8220
Other practice location 2
12496 Princeton Rd
Huntsburg, OH 44046-9792
Phone (440) 635-5567
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT6308 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1679103246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33044 ASHDOWN DR",
"city": "SOLON",
"state": "OH",
"postal_code": "441395709",
"telephone_number": "440-382-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12496 PRINCETON RD",
"city": "HUNTSBURG",
"state": "OH",
"postal_code": "440469792",
"telephone_number": "440-635-5567"
}
],
"practiceLocations": [
{
"address_1": "10190 Fairmount Rd",
"address_purpose": "LOCATION",
"city": "Newbury",
"state": "OH",
"postal_code": "440659531",
"country_code": "US",
"telephone_number": "440-338-8220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12496 Princeton Rd",
"address_purpose": "LOCATION",
"city": "Huntsburg",
"state": "OH",
"postal_code": "440469792",
"country_code": "US",
"telephone_number": "440-635-5567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIKON",
"first_name": "DANIEL",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT6308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.