Kristen Mariah Lopez Siscamanis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT03583 Issued in RI

Practice address

62 Franklin St Unit 10-11
Westerly, RI 02891-3176

Phone

(401) 450-2323

Fax

(401) 315-9121

NPI assigned

Jul 21, 2022

Last updated

Jul 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Mariah Lopez Siscamanis Professional name

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Evolution Physical Therapy and Wellness Center LLC

  • Physical Therapist
  • Westerly, RI
  • NPI 1568255032

  Single Specialty

  Medicare reassignment NPD Authorized official
• CJS Physical Therapy Services Inc

  dba Tier One Physical Therapy

  • Physical Therapist
  • Narragansett, RI
  • NPI 1689249997

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1972238186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 FRANKLIN ST UNIT 10-11",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913176",
            "telephone_number": "401-450-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 FRANKLIN ST UNIT 10-11",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913176",
            "telephone_number": "401-450-2323",
            "fax_number": "401-315-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ SISCAMANIS",
        "first_name": "KRISTEN",
        "middle_name": "MARIAH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LOPEZ SISCAMANIS",
            "middle_name": "MARIAH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Robin J Loffler, RD
• Morgan Rae Lohman, FNP-BC
• Maryanne Lohrey, MSW LCSW LICSW
• Marianne T Longacre, DO
• Maureen Elizabeth Lopes, PHARMACIST
• Bruce Charles Mackinnon, D.D.S.
• Macyop LLC (OP Specialty Bracing)
• Salvatore F Magliari, OD
• Roy M Main, MD
• Gayle E. Maloney

• Physical Therapist in Westerly, RI
• Providers in Westerly, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.