Victoria Ciszak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT029301 Issued in PA

Practice address

102 Dingman PL
Dingmans Ferry, PA 18328-9800

Phone

(570) 828-0000

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

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 PA

Enrollment records 1

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.

• Access Physical Therapy & Wellness Inc

  • Physical Therapist
  • Milford, PA
  • NPI 1164718862
  Medicare reassignment NPD

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1982280699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE G",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741",
            "telephone_number": "845-636-4344",
            "fax_number": "845-636-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DINGMAN PL",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183289800",
            "telephone_number": "570-828-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISZAK",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Marina Botero-Joerger, REGISTERED DIETITIAN
• Emily Mary Bove
• Maureen Catherine Brethel, D.D.S.
• Susan V Brown, CMT
• James Patrick Carey, LCSW
• Colonial Intermediate Unit 20
• Colonial Intermediate Unit 20
• Colonial Intermediate Unit 20
• Complete Mobile Lab Service, LLC
• Comprehensive Eye Associates LLC

• Physical Therapist in Dingmans Ferry, PA
• Providers in Dingmans Ferry, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.