JACQUELYN ELIZABETH SISK OTR/L
NPI 1366322216
Occupational Therapist - Physical Rehabilitation in Woodbridge, VA
About Jacquelyn Elizabeth Sisk Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYN ELIZABETH SISK OTR/L (NPI 1366322216) is an individual physical rehabilitation provider in Woodbridge, Virginia, licensed in Virginia (0119010462) and active in the NPI registry since September 2025. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacquelyn Elizabeth Sisk Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacquelyn Sisk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jacquelyn Sisk's NPI number?
The NPI number for Jacquelyn Sisk is 1366322216. It was assigned to this individual provider in the NPPES registry on September 3, 2025.
Where is Jacquelyn Sisk located?
Jacquelyn Sisk practices at 5821 Riverside Dr, Woodbridge, VA 22193. The listed phone number is (571) 228-6965.
What is Jacquelyn Sisk's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Physical Rehabilitation, with taxonomy code 225XP0019X.
Is Jacquelyn Sisk enrolled in Medicare?
Yes. Jacquelyn Sisk is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacquelyn Sisk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Sisk reassigns Medicare benefits to Powerback Rehabilitation LLC (Woodbridge, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Sisk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacquelyn Sisk was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.