Active NPIIndividual provider

Charisse K Siracusa, PT, DPT

Physical Therapist in Lake Como, New Jersey

NPI Number1851956403
Practice location
1719 Main St, Lake Como, NJ 07719-3097
Fax
—
Last updated
May 8, 2019

Charisse Katherine Siracusa is a Physical Therapist based in Lake Como, NJ. Charisse Katherine Siracusa practices in Lake Como, NJ and has the professional credentials of PT, DPT. The NPI Number for Charisse Katherine Siracusa is 1851956403 and holds a License No. 40QA01855600 (NJ). The current practice location address for Charisse Katherine Siracusa is 1719 Main St, Lake Como, NJ 07719-3097 and can be reached out via phone at 732-894-9200.

Provider Profile Details

NPI Number
1851956403
Provider Name
Charisse Katherine Siracusa
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Female
Address
1719 Main St, Lake Como, NJ 07719-3097
Phone Number
732-894-9200
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2019
Last Update Date
May 8, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1719 Main St
Lake Como, NJ 07719-3097
Zip
07719-3097
Phone Number
732-894-9200
Lake Como, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
1719 Main St
Lake Como, NJ 07719-3097
City
Lake Como
State
NJ
Zip
07719-3097
Phone Number
732-894-9200

License Information

License Number
40QA01855600
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physical Therapists near Lake Como, NJ

View all Physical Therapists in Lake Como →

Frequently Asked Questions

What is the NPI number of Charisse K Siracusa, PT, DPT?

The NPI number of Charisse K Siracusa, PT, DPT is 1851956403. It was assigned on May 8, 2019 and is currently active in the NPPES registry.

What is the specialty of Charisse K Siracusa, PT, DPT?

Charisse K Siracusa, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01855600.

Where does Charisse K Siracusa, PT, DPT practice?

The practice location is 1719 Main St, Lake Como, NJ 07719-3097. The office can be reached at 732-894-9200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851956403 directly on the NPPES registry website.

Browse related providers