Individual provider Active NPI

Melissa Sievers, DPT

  • Physical Therapist
  • Tiffin, IA
National Provider Identifier
1194174102
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
082966 Issued in IA
Practice address
1120 Tall Grass Ave
Tiffin, IA 52340-4753
Phone
(319) 545-2407
Fax
(319) 545-4128
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 082966 IA Primary

Addresses

Primary practice location

1120 Tall Grass Ave
Tiffin, IA 52340-4753

Mailing address

2401 Towncrest Dr
Iowa City, IA 52240-6631
Phone (319) 354-2429

Other identifiers 1

IdentifierTypeStateIssuer
06-65463MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217000564 IA Practitioner - Physical Therapist in Private Practice 8820525736 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082966IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Rehabilitation Associates L.L.C. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Progressive Rehab Chiropractic, L.L.C. Past Accepting new patients
Premier Physical Therapy of Iowa Physical Therapist PastSince Oct 29, 2023 Accepting new patients

Locations

4000 River Ridge Dr NE
Ste 3
Cedar Rapids, IA 52402
Phone (319) 200-3063

2769 Heartland Dr
Ste 301
Coralville, IA 52241
Phone (319) 354-2429

1130 S Scott Blvd
Ste 1
Iowa City, IA 52240
Phone (319) 354-2429

2401 Towncrest Dr
Iowa City, IA 52240
Phone (319) 354-2429

1120 Tall Grass Ave
Tiffin, IA 52340
Phone (319) 545-2407

Organizations & group practices 3

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1194174102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 TOWNCREST DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406631",
            "telephone_number": "319-354-2429",
            "fax_number": "319-354-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 TALL GRASS AVE",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523404753",
            "telephone_number": "319-545-2407",
            "fax_number": "319-545-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "MELISSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "082966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06-65463",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.