Active NPI
Nancy Katherine Siatkosky, P.T.
- Physical Therapist
- Lima, OH
National Provider Identifier
1891827366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT. 006066
- Practice address
- 1001 Bellefontaine Ave
Lima, OH 45804-2800 - Phone
- (419) 226-5075
- Fax
- (419) 998-4619
- NPI assigned
- Mar 11, 2007
- Sex
- Female
- 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 | PT. 006066 | OH | Primary |
Addresses
Primary practice location
1001 Bellefontaine Ave
Lima, OH 45804-2800
Mailing address
5080 Leatherwood Rd
Elida, OH 45807-9750
Phone (419) 339-8606
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT. 006066 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891827366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5080 LEATHERWOOD RD",
"city": "ELIDA",
"state": "OH",
"postal_code": "458079750",
"telephone_number": "419-339-8606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BELLEFONTAINE AVE",
"city": "LIMA",
"state": "OH",
"postal_code": "458042800",
"telephone_number": "419-226-5075",
"fax_number": "419-998-4619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIATKOSKY",
"first_name": "NANCY",
"middle_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT. 006066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.