Individual provider Active NPI

Rachel Anne Sisson, DPT

  • Physical Therapist
  • Lockport, NY
National Provider Identifier
1912295601
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
033916-1 Issued in NY
Practice address
5556 Davison Rd
Lockport, NY 14094-9090
Phone
(716) 433-3368
Fax
(716) 433-2086
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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 033916-1 NY Primary

Addresses

Primary practice location

5556 Davison Rd
Lockport, NY 14094-9090

Mailing address

5556 Davison Rd
Lockport, NY 14094-9090
Phone (716) 433-3368

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000564 NY Practitioner - Physical Therapist in Private Practice 7012187503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033916-1NYMDPhysical Therapist
033916NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Perilli Physical Therapy PC Physical Therapist CurrentSince Apr 20, 2021 Accepting new patients

Locations

5556 Davison Rd
Lockport, NY 14094
Phone (716) 433-3368

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1912295601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5556 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949090",
            "telephone_number": "716-433-3368",
            "fax_number": "716-433-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5556 DAVISON RD",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140949090",
            "telephone_number": "716-433-3368",
            "fax_number": "716-433-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033916-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.