Sydney Lisa Renee Pulliam, PT, DPT
NPI 1104605732ActiveIndividual· Physical Therapist· Raytown, MO
Physical Therapist (PT, DPT) in Raytown, Missouri, trained at New York Medical College (class of 2023). Medicare paid $26,205 for services to 53 patients in 2024.
Overview
| NPI | 1104605732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 25, 2023 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 053130 | NY |
| Physical Therapist | 225100000X | 1107487 | KS |
| Physical Therapist | 225100000X | CP051716T | TX |
| Physical Therapist | 225100000X | 2023049144 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 53 |
|---|---|
| Services billed | 1,182 across 8 procedure codes |
| Paid by Medicare | $26,205 |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physical Therapist In Private Practice |
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All 23 physical therapists in Raytown · All physical therapists in Missouri