Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Sisung

Individual provider Physical Therapy Assistant · NPI 1639865199

Peter Sisung is a Physical Therapy Assistant in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502004366 (MI)

Record details

NPI number1639865199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address21829 Woodruff Rd Apt A4, Rockwood, MI 48173-1059

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