Individual provider Active NPI

Patricia Siskar, SLP

  • Speech-Language Pathologist
  • Tonawanda, NY
National Provider Identifier
1750537676
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009720-1 Issued in NY
Practice address
100 Ebling Ave
Tonawanda, NY 14150-7064
Phone
(716) 833-1392
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 009720-1 NY Primary

Addresses

Primary practice location

100 Ebling Ave
Tonawanda, NY 14150-7064

Mailing address

100 Ebling Ave
Tonawanda, NY 14150-7064
Phone (716) 833-1392

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
009720NYMDOptometrist
009720-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire of Western New York Inc. CurrentSince Oct 5, 2023 Accepting new patients

Locations

7 Community Dr
Cheektowaga, NY 14225
Phone (716) 505-5630

2356 N Forest Rd
Getzville, NY 14068
Phone (716) 505-5560

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1750537676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EBLING AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507064",
            "telephone_number": "716-833-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EBLING AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507064",
            "telephone_number": "716-833-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISKAR",
        "first_name": "PATRICIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009720-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.