Individual provider Active NPI

Lydia M. Seibert, P.T.

  • Physical Therapist
  • Clayton, MO
National Provider Identifier
1124247036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01088 Issued in MO
Practice address
950 Francis PL
Clayton, MO 63105-2465
Phone
(314) 726-1186
Fax
(314) 726-0176
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 01088 MO Primary

Addresses

Primary practice location

950 Francis PL
Clayton, MO 63105-2465

Mailing address

12758 Honeygrove CT
Saint Louis, MO 63146-4405
Phone (314) 576-6416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130611000098 MO Practitioner - Physical Therapist in Private Practice 4587838388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 Francis PL
Suite 15
Clayton, MO 63105-2465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01088MOMDPhysical Therapist

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Friendship Village ChesterfieldChesterfield, MO, CCN 265121 Skilled nursing facility Corporate Officer
Corporate Director
Jul 1, 2020
Jul 1, 2020
FV at Home by Friendship VillageChesterfield, MO, CCN 267599 Home health agency Corporate Director Jul 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124247036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12758 HONEYGROVE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464405",
            "telephone_number": "314-576-6416",
            "fax_number": "314-427-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 FRANCIS PL",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631052465",
            "telephone_number": "314-726-1186",
            "fax_number": "314-726-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "LYDIA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "01088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.