Malcolm Sison, P.T.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

05008873A Issued in IN

Practice address

3401 Soldiers Home Rd
West Lafayette Bra, IN 47906-1222

Phone

(654) 463-1541

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982812541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 CAMERON LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479057584",
            "telephone_number": "765-447-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 SOLDIERS HOME RD",
            "city": "WEST LAFAYETTE BRA",
            "state": "IN",
            "postal_code": "479061222",
            "telephone_number": "654-463-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "MALCOLM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IN",
            "license": "05008873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ann Salmon, LCSW
• Helen Therese Seifert, LCSW
• Nancy J Shook, PH.D., HSPP
• Sigma Medical Group
• Jenny Asuncion Sison, P.T.
• Clifford Henrik Swensen Jr., PH.D.
• Thomas B. McHenry PC
• Sharlyn Tolentino, P.T
• Wal-Mart Stores East, LP (Vision Center 30-2339)
• John L Wells, D.D.S.

• Nursing Facility/Intermediate Care Facility in West Lafayette Bra, IN
• Providers in West Lafayette Bra, IN by specialty
• Nursing Facility/Intermediate Care Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.