Individual provider Active NPI

Nicholas David Seim, PT, DPT

  • Physical Therapist
  • Glendale, CA
National Provider Identifier
1023825734
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307279 Issued in CA
Practice address
1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone
(310) 480-2626
NPI assigned
Dec 16, 2024
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307279 CA Primary

Addresses

Primary practice location

1000 N Central Ave Ste 110
Glendale, CA 91202-3685

Mailing address

1000 N Central Ave Ste 110
Glendale, CA 91202-3685
Phone (310) 480-2626

Other practice location 1

1110 W Magnolia Blvd
Burbank, CA 91506-1812
Phone (747) 272-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103000902 CA Practitioner - Physical Therapist in Private Practice 1052849049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Annette Tamraz Physical Therapy IncGroup PAC ID 2769661586, 7 clinicians

Practice addresses (Care Compare)

1000 N Central Ave
Suite 110
Glendale, CA 91202-3685
Phone (818) 243-8422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307279CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Tamraz Physical Therapy Inc Physical Therapist CurrentSince Dec 20, 2024 Accepting new patients
Wellworks Physical Therapy and Rehabilitation, Inc. Physical Therapist CurrentSince Dec 19, 2024 Accepting new patients

Locations

1110 W Magnolia Blvd
Burbank, CA 91506
Phone (747) 272-0027

1000 N Central Ave
Ste 110
Glendale, CA 91202
Phone (818) 243-8422

500 W Glenoaks Blvd
Glendale, CA 91202
Phone (747) 272-0027

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1023825734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023685",
            "telephone_number": "310-480-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CENTRAL AVE STE 110",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023685",
            "telephone_number": "310-480-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1110 W Magnolia Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915061812",
            "country_code": "US",
            "telephone_number": "747-272-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEIM",
        "first_name": "NICHOLAS",
        "middle_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.