Michelle E Sierra, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

02679 Issued in LA

Practice address

653 Myrtle Drive
Covington, LA 70433

Phone

(985) 893-4700

Fax

(985) 893-3211

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Physical Therapy Services LLCGroup PAC ID 3577655794, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dynamic Physical Therapy Services LLC

  • Orthopedic Physical Therapist
  • Covington, LA
  • NPI 1639267974
  Medicare reassignment Care Compare group NPD Authorized official
• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1972508380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MYRTLE DRIVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-893-4700",
            "fax_number": "985-893-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Front St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582000",
            "country_code": "US",
            "telephone_number": "985-326-7260",
            "fax_number": "985-326-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7520 Westbank Expy",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700722354",
            "country_code": "US",
            "telephone_number": "504-371-4226",
            "fax_number": "504-371-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02679",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "LA",
            "license": "02679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "535-67-3751A",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "5211614",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Catherine Shriver
• Imran Shuja, M.D.
• James Shute, MD
• Rebecca Denise Faith Shyrer, PLPC, NCC
• Lucia Sicinschi, M.D.
• Stephen Sierra, PTA
• Erin Sigh
• Germaine Lee Silva, PT
• Stephanie Severns Silva, NP
• Jay Robert Silverstein, M.D.

• Orthopedic Physical Therapist in Covington, LA
• Providers in Covington, LA by specialty
• Orthopedic Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.