Individual provider Active NPI

Kasandra Sikorski

  • Physical Therapist
  • Pinellas Park, FL
National Provider Identifier
1982078390
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30975 Issued in FL
Practice address
6444 83Rd Ave N
Pinellas Park, FL 33781-1213
Phone
(866) 302-0073
NPI assigned
Nov 23, 2015
Last updated
May 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30975 FL Primary
Physical Therapist 225100000X PT-5888 ID

Addresses

Primary practice location

6444 83Rd Ave N
Pinellas Park, FL 33781-1213

Mailing address

6444 83Rd Ave N
Pinellas Park, FL 33781-1213
Phone (866) 302-0073

Other practice location 1

3111 Channing Way
Idaho Falls, ID 83404-7534
Phone (208) 529-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712002660 TN Practitioner - Physical Therapist in Private Practice 0648609586 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30975FLMDGeneral Practice Dentistry
13147TNMDGeneral Practice Dentistry
PT-5888IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Balance Therapy, PLLC Physical Therapist CurrentSince Apr 20, 2021 Accepting new patients

Locations

129 Walker Hill St
Crossville, TN 38555
Phone (931) 787-1712

56 S Main St
Crossville, TN 38555
Phone (440) 812-2853

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1982078390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 83RD AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811213",
            "telephone_number": "866-302-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 83RD AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337811213",
            "telephone_number": "866-302-0073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047534",
            "country_code": "US",
            "telephone_number": "208-529-0067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "KASANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30975",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.