Individual provider Active NPI

Logan J Siemer, DPT

  • Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1073048278
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016802 Issued in OH
Practice address
805 Central Ave
Cincinnati, OH 45202-1972
Phone
(513) 246-8840
Fax
(513) 352-1995
NPI assigned
Apr 25, 2017
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 PT016802 OH Primary

Addresses

Primary practice location

805 Central Ave
Cincinnati, OH 45202-1972

Mailing address

805 Central Ave
Cincinnati, OH 45202-1972
Phone (513) 246-8840

Other practice location 1

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170824003307 KY Practitioner - Physical Therapist in Private Practice 6507138526 Reassigns benefits to 1 organization
I20210427002528 OH Practitioner - Physical Therapist in Private Practice 6507138526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

2123 Auburn Ave
Suite 630
Cincinnati, OH 45219-2906
Phone (859) 301-2663

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

7910 Beechmont Ave
Cincinnati, OH 45255-4210
Phone (513) 232-2663

805 Central Ave
Cincinnati, OH 45202-1972
Phone (513) 246-8840

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Jul 24, 2017 Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physical Therapist CurrentSince Jul 24, 2017 Accepting new patients
Trihealth H LLC Physical Therapist CurrentSince Nov 3, 2025 Accepting new patients
City of Cincinnati PastSince Nov 3, 2025 Accepting new patients

Locations

560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

7910 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 474-8600

805 Central Ave
Cincinnati, OH 45202
Phone (513) 246-8840

9871 Montgomery Rd
Montgomery, OH 45242

Organizations & group practices 4

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": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1073048278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021972",
            "telephone_number": "513-246-8840",
            "fax_number": "513-352-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CENTRAL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021972",
            "telephone_number": "513-246-8840",
            "fax_number": "513-352-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 S Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173405",
            "country_code": "US",
            "telephone_number": "859-301-2663",
            "fax_number": "859-301-0655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEMER",
        "first_name": "LOGAN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT016802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.