NPIMap

Organization Active NPI

Siegmund Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Omaha, NE
National Provider Identifier
1306178447
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2446 Issued in NE
Legal business name
SIEGMUND PHYSICAL THERAPY, PC
Practice address
5030 Grover St
Omaha, NE 68106-3831
Phone
(402) 659-4346
NPI assigned
Jan 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Susan Siegmund, DPTNPI 1740205103
Title
President
Phone
(402) 659-4346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2446 NE Primary

Addresses

Primary practice location

5030 Grover St
Omaha, NE 68106-3831

Mailing address

5030 Grover St
Omaha, NE 68106-3831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000157 NE Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1254460496 Receives reassigned benefits from 11 practitioners
Practice locations: Elkhorn, NE

National Provider Directory

National Provider Directory

Locations

19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797

7811 Chicago Ct
Omaha, NE 68114
Phone (402) 504-9797

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1306178447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 GROVER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063831",
            "telephone_number": "402-659-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGMUND PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "SIEGMUND",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-659-4346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NE",
            "license": "2446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.