Individual provider Active NPI

Natosha Siemek

  • Physical Therapist
  • Louisville, NE
National Provider Identifier
1447672514
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3209 Issued in NE
Practice address
1268 E Henry Street. Suite 1
Louisville, NE 68037
Phone
(402) 234-3333
NPI assigned
Jan 9, 2014
Last updated
Feb 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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 3209 NE Primary

Addresses

Primary practice location

1268 E Henry Street. Suite 1
Louisville, NE 68037

Mailing address

5930 Vandervoort Dr Ste a
Lincoln, NE 68516-2391
Phone (402) 420-2099

Other practice location 1

5930 Vandervoort Dr Ste A
Lincoln, NE 68516-2391
Phone (402) 420-2099

Other practice location 2

205 S 23rd St Ste 1
Plattsmouth, NE 68048-2902
Phone (402) 298-4747

Other identifiers 1

IdentifierTypeStateIssuer
47077636832MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190109002102 NE Practitioner - Physical Therapist in Private Practice 4284970419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Nebraska College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Witte Physical TherapyGroup PAC ID 2365758588, 7 clinicians

Practice addresses (Care Compare)

1268 E Henry St
Suite 1
Louisville, NE 68037-7025
Phone (402) 234-3333

16304 Westside Dr
Plattsmouth, NE 68048-6104
Phone (402) 298-4747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3209NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Witte Physical Therapy Physical Therapist CurrentSince Dec 10, 2018 Accepting new patients
Handprints & Footsteps Physical Therapist Past Accepting new patients
Handprints & Footsteps Past Accepting new patients

Locations

1268 E Henry St
Ste 1
Louisville, NE 68037
Phone (402) 233-4333

16304 Westside Dr
Ste 400
Plattsmouth, NE 68048
Phone (402) 298-4747

205 S 23rd St
Ste 1
Plattsmouth, NE 68048
Phone (402) 298-4555

Organizations & group practices 3

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": "1389225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1447672514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 VANDERVOORT DR STE A",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685162391",
            "telephone_number": "402-420-2099",
            "fax_number": "402-420-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E HENRY STREET. SUITE 1",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "68037",
            "telephone_number": "402-234-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5930 Vandervoort Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685162391",
            "country_code": "US",
            "telephone_number": "402-420-2099",
            "fax_number": "402-420-2823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S 23rd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Plattsmouth",
            "state": "NE",
            "postal_code": "680482902",
            "country_code": "US",
            "telephone_number": "402-298-4747",
            "fax_number": "844-272-6479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEMEK",
        "first_name": "NATOSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-09",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47077636832",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.