Active NPI
Logan Alexander Siemers, PT, DPT
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 306509
- Practice address
- 17241 Murphy Ave
Irvine, CA 92614-5917 - Phone
- (530) 559-9246
- NPI assigned
- Nov 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 306509 | CA | Primary |
Addresses
Primary practice location
17241 Murphy Ave
Irvine, CA 92614-5917
Mailing address
18428 Oak Canyon Rd Apt 574
Canyon Country, CA 91387-6358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24491 Alicia Pkwy
Mission Viejo, CA 92691-4506
Phone (949) 876-5299
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306509 | CA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Past | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Past | Accepting new patients |
Locations
505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010
471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877
415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083
255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509
36 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 374-3315
2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489
24491 Alicia Pkwy
Mission Viejo, CA 92691
Phone (949) 876-5299
19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
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.
-
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
- Physical Therapist
- San Juan Capistrano, CA
- NPI 1497268742
-
- Physical Therapy Clinic/Center
- Corona, CA
- NPI 1255986873
-
- Physical Therapy Clinic/Center
- Camarillo, CA
- NPI 1669066940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1245055763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18428 OAK CANYON RD APT 574",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913876358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17241 MURPHY AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926145917",
"telephone_number": "530-559-9246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMERS",
"first_name": "LOGAN",
"middle_name": "ALEXANDER",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-19",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "CA",
"license": "306509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.