Active NPI
Lynne Diane Archeski, P. T.
- Physical Therapist
- Union, MO
National Provider Identifier
1386789055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01026
- Practice address
- 300 Independence Drive
Union, MO 63084-1053 - Phone
- (636) 583-5959
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 01026 | MO | Primary |
Addresses
Primary practice location
300 Independence Drive
Union, MO 63084-1053
Mailing address
506 Lighthouse Point Dr
Grover, MO 63040-1909
Other names 1
- Ms. Lynne Diane Sieckman
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01026 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386789055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 LIGHTHOUSE POINT DR",
"city": "GROVER",
"state": "MO",
"postal_code": "630401909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 INDEPENDENCE DRIVE",
"city": "UNION",
"state": "MO",
"postal_code": "630841053",
"telephone_number": "636-583-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHESKI",
"first_name": "LYNNE",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "01026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNNE",
"last_name": "SIECKMAN",
"middle_name": "DIANE",
"prefix": "MS.",
"credential": "P. T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Union, MO
- Americare at Victorian Manor of Union, LLC (Union Pointe Assisted Living)
- Christopher E Anderson, MA
- Angels at Home,LLC
- Cathy Annis-Neubauer, CNS
- Tara Victoria Anspach, M.A., CCC-SLP
- Amy Lynn Armstrong
- Aspire Internal Medicine, L.L.C.
- Axes Physical Therapy I, LLC
- Axes Physical Therapy, LLC (Axes Physical Therapy)
- Sneha Bagavandoss, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.