Individual provider Active NPI

Daniel T. Sikon, PHYSICAL THERAPIST

  • Physical Therapist
  • Huntsburg, OH
National Provider Identifier
1679103246
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6308 Issued in OH
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

Updated by the provider on Jan 22, 2020

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 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

LicenseStateTypeSpecialty
PT6308OHMDPhysical 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.

Verify at the official NPI Registry.