KAREN KAY SISCO (NPI# 1043493877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043493877 |
Entity Type | Individual |
Full Name | KAREN KAY SISCO |
Credential | PT |
Practice Address |
11315 Mccormick Rd Arlington TN 38002-9512 |
Practice Telephone | 9012925313 |
Practice Fax Number | 9018673340 |
Mailing Telephone | 9012925313 |
Mailing Fax Number | 9018673340 |
Enumeration Date | 2007-12-15 |
Last Update Date | 2008-07-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT4292 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT0000004903 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 08602897 | 05 |
Street Address |
11315 MCCORMICK RD |
City | ARLINGTON |
State | TN |
Zip Code | 38002-9512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205099934 | Pediatric Therapy Service | Physical Therapist | 11315 Mccormick Rd, Arlington, TN 38002-9512 | 2008-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
Find all providers in zip 38002 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790334175 | Elizabeth Huff | Physical Therapist | 601 S Carlin Springs Rd Ste 505, Arlington, VA 22204-1044 | 2019-09-09 |
1912475419 | Kelly Laughlin | Physical Therapist | 3544 36th Rd N, Arlington, VA 22207-4817 | 2018-11-02 |
1689198442 | Claire Banschbach | Physical Therapist | 1351 E Bardin Rd, Arlington, TX 76018-2135 | 2017-08-02 |
1164747283 | Andrea Ribando Brunk | Physical Therapist | 3709 3rd St S, Arlington, VA 22204-1638 | 2010-03-31 |
1730312372 | Adele Marie Boomer | Physical Therapist | 2325 189th Pl Ne, Arlington, WA 98223-9705 | 2009-08-31 |
1750508578 | Nancy O'dell | Physical Therapist | 2505 Weatherby Dr Apt 238, Arlington, TX 76006-2614 | 2007-04-20 |
1356567382 | Katherine Lincoln Parker | Physical Therapist | 4849 A South 28th Street, Arlington, VA 22206-1365 | 2007-04-18 |
1396867701 | Danielle Quinn | Physical Therapist | 30 Bellevue Rd, Arlington, MA 02476-7920 | 2007-04-04 |
1376140608 | Megan Mckinney | Physical Therapist | 2301 Columbia Pike Apt 125, Arlington, VA 22204-4453 | 2020-10-09 |
1760839666 | Theresa Menditto | Physical Therapist | 1126 W Pioneer Pkwy, Arlington, TX 76013-6367 | 2016-05-20 |
Find all providers in ARLINGTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.