SISLEY NG – Physical Therapist, NPI 1104505668
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,988 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CO
Provider Addresses for SISLEY NG
1248 S Broadway
Denver, CO 802101504
Phone: (720) 699-9095
Type: Location
30 S Behl St
Appleton, MN 562081616
Phone: (320) 289-8503
Type: Location
1411 S Potomac St Ste 400
Aurora, CO 800124540
Phone: (303) 695-6060
Type: Location
3484 SAVANNAH AVE
WHITE BEAR LAKE, MN 551104579
Phone: (651) 235-4095
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231031000327 | I | Physical Therapist In Private Practice | CO | TBD |
| I20240614000936 | I | Physical Therapist In Private Practice | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80210)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | VA | |
| Physical Therapist In Private Practice | CO | |
| Occupational Therapist In Private Practice | TX | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Orthopedic Surgery | CO | |
| - | CO | |
| Physical Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | IL |
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