Debbie A Srikishun, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

009889 Issued in NY

Practice address

89-16 175TH Street Unit CF3
Jamaica, NY 11432

Phone

(718) 487-3109

Fax

(718) 487-3081

NPI assigned

Jun 26, 2018

Sex

Female

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

Practice roles

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.

• RTM Physiatry and Psychiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Jamaica, NY
  • NPI 1417247883
  NPD (past)
• Village Family Health NP Services PLLC

  • Multi-Specialty Clinic/Center
  • Jamaica, NY
  • NPI 1669351763
  NPD (past)

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1720573355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-16 175TH STREET UNIT CF3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-487-3109",
            "fax_number": "718-487-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-16 175TH STREET UNIT CF3",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-487-3109",
            "fax_number": "718-487-3081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRIKISHUN",
        "first_name": "DEBBIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "009889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Spivey, LMSW
• Cyllvia Springer, LCSW
• Imani Nyala Springer
• Springfield Surgical Supply, Inc.
• Jaspreet Kaur Sra, PA
• Malaya Srivastava, M.D.
• Rajeev D Srivastava, MD
• SRS Elite Care Inc
• SS Elder in-Home Care
• SS Elder in-Home Care, Inc

• Physical Therapy Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.