Individual provider Active NPI

Vivian Sietra

  • Physical Therapy Assistant
  • Englewood, NJ
National Provider Identifier
1912803552
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00432600 Issued in NJ
Practice address
401 S Van Brunt St Ste 206a
Englewood, NJ 07631-4600
Phone
(201) 308-3884
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00432600 NJ Primary

Addresses

Primary practice location

401 S Van Brunt St Ste 206a
Englewood, NJ 07631-4600

Mailing address

401 S Van Brunt St Ste 206a
Englewood, NJ 07631-4600
Phone (201) 308-3884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1912803552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 206A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-308-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S VAN BRUNT ST STE 206A",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076314600",
            "telephone_number": "201-308-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIETRA",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00432600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.