Healthcare Provider Details

I. General information

NPI: 1770405946
Provider Name (Legal Business Name): ROBERT SISLER OTR/L, OTD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7720 DUDLEY DR
WEST CHESTER OH
45069-2400
US

IV. Provider business mailing address

8170 CLOVEHITCH CT
MAINEVILLE OH
45039-9588
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-5410
  • Fax:
Mailing address:
  • Phone: 937-244-0745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013841
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: