Nathan Seibold

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016086 Issued in MI

Practice address

861 Health Park Blvd
Grand Blanc, MI 48439-7383

Phone

(810) 953-0095

Fax

(810) 579-0916

NPI assigned

Apr 3, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy and WellnessGroup PAC ID 8527069475, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Physical Therapy and Wellness

  dba Jacob Elite Physical Therapy

  • Physical Therapy Clinic/Center
  • Metamora, MI
  • NPI 1912059700

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Henry Ford Medical Group Genesys

  • Family Medicine Physician
  • Burton, MI
  • NPI 1598248718
  Medicare reassignment NPD
• Henry Ford Medical Group Genesys

  dba Ascension Genesys Ambulatory Therapy

  • Physical Therapist
  • Burton, MI
  • NPI 1114495793
  NPD
• Genesys Integrated Group Practice PC

  • Nurse Practitioner
  • Flint, MI
  • NPI 1386782381
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1215433743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 HEALTH PARK BLVD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397383",
            "telephone_number": "810-953-0095",
            "fax_number": "810-579-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBOLD",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Maria Seabrook, RN BSN
• Geraldine Searight, PA
• Seasons Counseling Center PC
• Molly Seaton
• Katarena Rae Seelman
• Celine Semma, MD
• Bita Semsarieh, MD
• Marlyce Serges, NP
• Bradley Joseph Sessink
• Kiara Simone Settle

• Physical Therapist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.