Organization Active NPI

Kishna Sisca Physical Therapy PA

  • Physical Therapy Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1902275720
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
18059 Issued in FL
Legal business name
KISHNA SISCA PHYSICAL THERAPY PA
Practice address
10290 Gentlewood Forest Dr
Boynton Beach, FL 33473-4862
Phone
(561) 704-7224
Fax
(561) 336-3548
NPI assigned
Sep 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Mrs. Kishna Nicole Sisca, PT
Title
President
Phone
(561) 704-7224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 18059 FL Primary

Addresses

Primary practice location

10290 Gentlewood Forest Dr
Boynton Beach, FL 33473-4862

Mailing address

10290 Gentlewood Forest Dr
Boynton Beach, FL 33473-4862
Phone (561) 704-7224

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1902275720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 GENTLEWOOD FOREST DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734862",
            "telephone_number": "561-704-7224",
            "fax_number": "561-336-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 GENTLEWOOD FOREST DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334734862",
            "telephone_number": "561-704-7224",
            "fax_number": "561-336-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISHNA SISCA PHYSICAL THERAPY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "SISCA",
        "authorized_official_first_name": "KISHNA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-704-7224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "18059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.