Provider Demographics
NPI:1427214717
Name:SILSBY, JESSICA R (DPT)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:R
Last Name:SILSBY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30180
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96820-0180
Mailing Address - Country:US
Mailing Address - Phone:808-522-4000
Mailing Address - Fax:
Practice Address - Street 1:628 B SEVENTH ST
Practice Address - Street 2:
Practice Address - City:LANAI CITY
Practice Address - State:HI
Practice Address - Zip Code:96763
Practice Address - Country:US
Practice Address - Phone:808-565-6423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1197367OtherPHYSICAL THERAPY LICENSE
NY030955-1OtherPHYSICAL THERAPY LICENSE
HI3154OtherPHYSICAL THERAPY LICENSE