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

Active since April 13, 2016Opted out of Medicare · through Sep 18, 2026
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: July 19, 2026.

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

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 has opted out of Medicare through September 18, 2026 and remains eligible to order and refer 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
Open in Google Maps ↗

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

ⓘ

Opted out of Medicare

Dr. Lisa Ann Mazzocut Siino Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2024 through September 18, 2026.

Opt-Out Effective DateSeptember 18, 2024
Opt-Out In Effect ThroughSeptember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

BREANNA KE MAKANA CABANA LMT
Massage Therapist
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 980-8954
DR. CYNTHIA M WORDEN DO LLC
Family Medicine
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 831-9231
CYNTHIA WORDEN LLC
Family Medicine
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 831-9231
MARK BOWMAN MD LLC
General Practice
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 801-7800
KENNETH J MEIGS JR. D.O.
Family Medicine
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 831-9231
KENNETH MEIGS DO LLC
Clinic/Center (Primary Care)
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 831-9231
AURA INTEGRATIVE HEALTH LLC
Clinic/Center
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 905-2526
MRS. MORGAN SLOAN FNP-C
Nurse Practitioner
15 82ND DR STE 100
GLADSTONE, OR 97027
Clackamas County (503) 905-2526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Lisa Siino located?

Lisa Siino practices at 15 82nd Dr Ste 100, Gladstone, OR 97027. The listed phone number is (510) 316-4255.

What is Lisa Siino's specialty?

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

Is Lisa Siino enrolled in Medicare?

No. Lisa Siino has opted out of Medicare through September 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Siino was last updated on January 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.