Janeth Sta Barbara Sicam, PHYSICAL THERAPISTS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT301143 Issued in CA

Practice address

43979 15TH St W
Lancaster, CA 93534-4635

Phone

(661) 522-3711

Fax

(661) 522-3714

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Aria Physical Therapy Center

  • Clinic/Center
  • Lancaster, CA
  • NPI 1528634995
  NPD

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1982369500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43979 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344635",
            "telephone_number": "661-522-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43979 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344635",
            "telephone_number": "661-522-3711",
            "fax_number": "661-522-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICAM",
        "first_name": "JANETH",
        "middle_name": "STA BARBARA",
        "credential": "PHYSICAL THERAPISTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT301143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "desktop",
            "affiliation": "N",
            "endpointDescription": "internet",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "computer",
            "address_1": "43979 15th St W",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935344635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara Shultz, SUDCC II
• Gregory Thomas Shumard
• Randy Sibole
• Chris Sica
• Maria Sical, RBT
• Donald Eugene Sicher, P.A.-C
• Shahid N Siddiqui, MD
• Qanwarpartap S Sidhu, MD
• Sierra Educational Advancement Corporation (Learn4Life)
• Sierra Gastroenterology

• Physical Therapist in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.