NPIMap

Organization Active NPI

Seivert Physical Therapy PC

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1114000445
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SEIVERT PHYSICAL THERAPY PC
Practice address
1020 McCourtney Rd # D
Grass Valley, CA 95949-7400
Phone
(530) 272-7306
Fax
(530) 272-7316
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Charles Seivert, MS PT GDMTNPI 1730199738
Title
Owner Provider
Phone
(530) 272-7306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1020 McCourtney Rd # D
Grass Valley, CA 95949-7400

Mailing address

1020 McCourtney Rd # D
Grass Valley, CA 95949-7400
Phone (530) 272-7306

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ08443ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000935 CA Part B Supplier - Clinic/Group Practice 2466345368 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grass Valley, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1020 McCourtney Rd
Ste D
Grass Valley, CA 95949
Phone (530) 272-7306

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114000445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MCCOURTNEY RD # D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "530-272-7306",
            "fax_number": "530-272-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCCOURTNEY RD # D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "530-272-7306",
            "fax_number": "530-272-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIVERT PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEIVERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "530-272-7306",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS PT GDMT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08443Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.