Individual provider Active NPI

Lauren Elise Siers, DPT, ATC

  • Physical Therapist
  • Weston, WV
National Provider Identifier
1235527425
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003310 Issued in WV
Practice address
249 W. 2ND St.
Weston, WV 26452
Phone
(304) 269-8097
Fax
(304) 269-8187
NPI assigned
Dec 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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 003310 WV Primary

Addresses

Primary practice location

249 W. 2ND St.
Weston, WV 26452

Mailing address

249 W. 2ND St.
Weston, WV 26452
Phone (304) 269-8097

Other names 1

  • Lauren Elise Benedum Former name

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

State licenses

LicenseStateTypeSpecialty
003310WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1235527425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W. 2ND ST.",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "26452",
            "telephone_number": "304-269-8097",
            "fax_number": "304-269-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W. 2ND ST.",
            "city": "WESTON",
            "state": "WV",
            "postal_code": "26452",
            "telephone_number": "304-269-8097",
            "fax_number": "304-269-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERS",
        "first_name": "LAUREN",
        "middle_name": "ELISE",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "003310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BENEDUM",
            "middle_name": "ELISE",
            "credential": "DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.