ANGELA SISSON (NPI# 1225370851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225370851 |
| Entity Type | Individual |
| Full Name | ANGELA SISSON |
| Credential | PTA |
| Practice Address |
1513 Dekalb Ave Sycamore IL 60178-2703 |
| Mailing Address |
1952 Aberdeen Ct Sycamore IL 60178-3175 |
| Practice Telephone | 8157580000 |
| Practice Fax Number | 8159919484 |
| Mailing Telephone | 8157580000 |
| Mailing Fax Number | 8159912681 |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 160004254 | IL | Other Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | 160-004254 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3260 Sycamore Rd, Dekalb, IL 601159621 | 8157580000 | 8159912681 |
| Street Address |
1513 DEKALB AVE |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376503342 | James Wesley Coulter | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2006-03-24 |
| 1992369920 | Corban Ege | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2019-04-25 |
| 1578127791 | Leah Scheri | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2019-04-23 |
| 1376002980 | Cynthia Brown | Physical Therapy Assistant | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2019-03-14 |
| 1003327172 | Katherine Ellen Jones | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2017-10-17 |
| 1467978882 | Jamieson T Credille | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2017-08-17 |
| 1972845592 | Constance Balles | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1700135274 | Nicholas Helton | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2012-08-30 |
| 1669674727 | Leena A Karkhanis | Physical Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2007-06-01 |
| 1265553218 | Lynette Marie Rajterowski | Occupational Therapist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356564793 | Darla Lynn Blackbourn | Specialist | 245 W Exchange St Ste 4, Sycamore, IL 60178-1495 | 2007-04-11 |
| 1114983798 | Vasantha L Gona | Specialist | 2128 Midlands Ct, Suite 106, Sycamore, IL 60178-3199 | 2006-04-24 |
| 1023017019 | Paul H Nguyen | Specialist | 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178-3180 | 2005-07-20 |
| 1396161576 | Sarah Carlson | Specialist | 2111 Midlands Ct, Sycamore, IL 60178-3125 | 2014-03-11 |
| 1972845592 | Constance Balles | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2013-03-21 |
| 1700135274 | Nicholas Helton | Specialist | 1513 Dekalb Ave, Sycamore, IL 60178-2703 | 2012-08-30 |
| 1083862452 | Kindred Thc Chicago, LLC | Specialist | 225 Edward St, Sycamore, IL 60178 | 2008-08-28 |
| 1326165895 | Universal Sleep & Attention Center | Specialist | 954 W State St, Sycamore, IL 60178-1335 | 2007-03-22 |
| 1851431514 | Anita Nelson Niehues | Specialist | 245 W Exchange St, Suite 4, Sycamore, IL 60178-1495 | 2007-02-08 |
| 1639267081 | Kishwaukee Cardiology Associates, Ltd. | Specialist | 2530 Hauser Ross Dr, Sycamore, IL 60178-3162 | 2006-10-11 |
| Find all providers in SYCAMORE | ||||
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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.