Individual provider Active NPI

Cathleen Sickles, DPT

  • Physical Therapist
  • San Mateo, CA
National Provider Identifier
1841869237
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300364 Issued in CA
Practice address
800 S Claremont St Ste 106
San Mateo, CA 94402-1449
Phone
(650) 685-4800
NPI assigned
Jun 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 300364 CA Primary

Addresses

Primary practice location

800 S Claremont St Ste 106
San Mateo, CA 94402-1449

Mailing address

800 S Claremont St Ste 106
San Mateo, CA 94402-1449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922002684 CA Practitioner - Physical Therapist in Private Practice 3274930953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
300364CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Spine & Joint PC CurrentSince Jan 3, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Jan 3, 2023 Accepting new patients
Sport & Spine Therapy of Marin Inc Physical Therapist CurrentSince Aug 8, 2022 Accepting new patients
Sport & Spine Therapy of Marin Inc Physical Therapist Current Accepting new patients
M. Turner, Inc. Physical Therapist CurrentSince Jun 21, 2021 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

220 Greenfield Ave
San Anselmo, CA 94960
Phone (415) 457-4454

800 S Claremont St
Ste 106
San Mateo, CA 94402
Phone (650) 224-5660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1841869237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CLAREMONT ST STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CLAREMONT ST STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944021449",
            "telephone_number": "650-685-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLES",
        "first_name": "CATHLEEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.