Oleg Sirotin, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37631 Issued in CA

Practice address

17650 Devonshire St
Northridge, CA 91325-1445

Phone

(818) 886-1616

Fax

(818) 831-8680

NPI assigned

Apr 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Advance Therapy Physical Therapy Clinic, IncGroup PAC ID 3375590078, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advance Therapy Physical Therapy Clinic, Inc

  • Physical Therapist
  • Glendale, CA
  • NPI 1538192695
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1932499514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "800-944-9782",
            "fax_number": "610-438-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 DEVONSHIRE ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913251445",
            "telephone_number": "818-886-1616",
            "fax_number": "818-831-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTIN",
        "first_name": "OLEG",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT37631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gagneet Gia Singh
• Kavaldeep Singh, DO
• Vinita Singh, MD
• Sini Medical Equipment Inc
• Jeffrey Siojo
• Sis Medical Supply Inc
• Nancy Sites, LMFT
• SK Nursing Services Inc
• Skin and Beauty Center (SBC), Inc. (Northridge Dermatology Associates Medical Group)
• Sky Home Care & Hospice Inc. (Sky Hospice)

• Physical Therapist in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.