DR. LISA ANN MAZZOCUT SIINO DO
NPI 1245684489
Neuromusculoskeletal Medicine & OMM in Gladstone, OR

Q: What is Lisa Siino's NPI number?

The NPI number for Lisa Siino is 1245684489. It was assigned to this individual provider in the NPPES registry on April 13, 2016. The provider is also known as Lisa Ann Mazzocut.

Q: What is Lisa Siino's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Siino was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2016PECOS Enrolled

15 82ND DR STE 100, GLADSTONE, OR 97027(510) 316-4255 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 17, 2023, Dec 27, 2022, Mar 21, 2018 (3 updates tracked since 2018).

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About Dr. Lisa Ann Mazzocut Siino Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA ANN MAZZOCUT SIINO DO (NPI 1245684489) is an individual neuromusculoskeletal medicine & omm provider in Gladstone, Oregon, licensed in Oregon (DO211433) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1245684489

Entity TypeIndividualFemale

Primary Taxonomy204D00000X

Provider Legal NameDR. LISA ANN MAZZOCUT SIINOCredential: DO

Location Address15 82ND DR STE 100Gladstone, OR 97027-2550

Mailing Address1801 W Chestnut AveYakima, WA 98902-3805 · (510) 316-4255

Phone(510) 316-4255

Sole ProprietorYes

Enumeration DateApril 13, 2016

Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 17, 2023

✔ NPI 1245684489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in OR · DO211433

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

15 82ND DR STE 100, Gladstone, OR 97027

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Other Names 1

Former Name (1)Lisa Ann Mazzocut

Secondary Practice Location 1

Location 1200 University PkwyYakima, WA 98901-9539 · Phone (510) 316-4255

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Ann Mazzocut Siino Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURA INTEGRATIVE HEALTH LLC

Clinic/Center