Individual provider Active NPI

Jordan E Siegmann, DPT

  • Physical Therapist
  • Leominster, MA
National Provider Identifier
1265818413
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21839 Issued in MA
Practice address
165 Mill St
Leominster, MA 01453-3289
Phone
(978) 840-1900
Fax
(978) 840-1263
NPI assigned
Aug 10, 2015
Last updated
Nov 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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 21839 MA Primary

Addresses

Primary practice location

165 Mill St
Leominster, MA 01453-3289

Mailing address

5 Neponset St
Worcester, MA 01606-2714
Phone (978) 840-1900

Other names 1

  • Jordan E. Storro Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160120000443 MA Practitioner - Physical Therapist in Private Practice 8426351784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 840-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21839MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Greendale Physical Therapy, LLC Physical Therapist CurrentSince Mar 29, 2017 Accepting new patients
Reliant Medical Group, Inc Physical Therapist CurrentSince Sep 4, 2018 Accepting new patients
Reliant Medical Group, Inc CurrentSince Sep 4, 2018 Accepting new patients
Hardy Physical Therapy Rehabilitation Services Inc Physical Therapist CurrentSince Mar 2, 2016 Accepting new patients

Locations

205 Washington St
Hudson, MA 01749
Phone (978) 562-3114

165 Mill St
Leominster, MA 01453
Phone (978) 466-3208

225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208

112 Main St
Northborough, MA 01532
Phone (508) 393-7223

280 Boston Tpke
Shrewsbury, MA 01545
Phone (508) 753-7780

120 Gold Star Blvd
Worcester, MA 01606
Phone (508) 459-5000

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

630 Plantation St
Fl 12
Worcester, MA 01605
Phone (508) 368-5529

Interoperability endpoints

  • Direct secure messaging: jordan.siegmann.npi1265818413.reliant@direct.optumcare.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1265818413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 NEPONSET ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062714",
            "telephone_number": "978-840-1900",
            "fax_number": "978-840-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MILL ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014533289",
            "telephone_number": "978-840-1900",
            "fax_number": "978-840-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGMANN",
        "first_name": "JORDAN",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "STORRO",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.