Kyle J Sirois

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012340 Issued in CT

Practice address

816 Broad St Ste 18
Meriden, CT 06450-4350

Phone

(203) 238-1334

Fax

(203) 238-1351

NPI assigned

Sep 26, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1942851332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BROAD ST STE 18",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST STE 18",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-238-1334",
            "fax_number": "203-238-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROIS",
        "first_name": "KYLE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "012340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver City Counseling, LLC
• Polina P Simanovich, DMD
• Casey M Simoncelli, LCSW
• Jaclyn Sinclair, MT-BC
• Christina K Singh
• Lori Skevas, APRN
• Sklad Enterprises Inc.
• David Anthony Smith
• Delbert Smith, M.D.
• Richard A Smith, MD

• Physical Therapist in Meriden, CT
• Providers in Meriden, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.