Individual provider Active NPI

Stuart Siegner, PT CSCS

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1184707135
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501004149 Issued in MI
Practice address
878 S Rochester Rd
Rochester Hills, MI 48307-2740
Phone
(248) 650-4404
Fax
(248) 650-4757
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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 5501004149 MI Primary

Addresses

Primary practice location

878 S Rochester Rd
Rochester Hills, MI 48307-2740

Mailing address

878 S Rochester Rd
Rochester Hills, MI 48307-2740
Phone (248) 601-9207

Other identifiers 1

IdentifierTypeStateIssuer
5176007OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VMS of Macomb TWP LLC CurrentSince Jan 15, 2018 Accepting new patients
CKS of Mt Clemens LLC Physical Therapist CurrentSince Mar 1, 2008 Accepting new patients
KRS of Clawson LLC PastSince Apr 21, 2008 Accepting new patients
Trishard P.C. Past Accepting new patients
Aks of Romeo LLC Physical Therapist PastSince Mar 16, 2002 Accepting new patients

Locations

32155 23 Mile Rd
Chesterfield, MI 48047
Phone (248) 788-6100

21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590

22573 Hall Rd
Macomb, MI 48042
Phone (586) 231-0043

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

48875 Hayes Rd
Shelby Township, MI 48315
Phone (586) 532-9602

Organizations & group practices 5

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1184707135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072740",
            "telephone_number": "248-601-9207",
            "fax_number": "248-650-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 S ROCHESTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072740",
            "telephone_number": "248-650-4404",
            "fax_number": "248-650-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGNER",
        "first_name": "STUART",
        "credential": "PT CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5176007",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.