Individual provider Active NPI

Ellen M Seib, P.T.

  • Physical Therapist
  • Toccoa, GA
National Provider Identifier
1548456700
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001906 Issued in GA
Practice address
100 Hayes St
Toccoa, GA 30577-2067
Phone
(706) 886-3883
Fax
(706) 886-3812
NPI assigned
Sep 21, 2007
Last updated
Sep 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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 PT001906 GA Primary

Addresses

Primary practice location

100 Hayes St
Toccoa, GA 30577-2067

Mailing address

100 Hayes St
Toccoa, GA 30577-2067
Phone (706) 886-3883

Other identifiers 1

IdentifierTypeStateIssuer
00817979AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081201000322 GA Practitioner - Physical Therapist in Private Practice 3678482114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Yates and Seib, Inc.Group PAC ID 9133038672, 3 clinicians

Practice addresses (Care Compare)

22 Hayes St
Toccoa, GA 30577-2696
Phone (706) 886-3883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yates & Seib, Inc. CurrentSince Jan 1, 2003 Accepting new patients
Toccoa Clinic Medical Associates, LLP CurrentSince Jun 1, 2012 Accepting new patients

Locations

12192 Augusta Rd
Lavonia, GA 30553
Phone (706) 356-1072

22 Hayes St
Toccoa, GA 30577
Phone (706) 886-3883

Organizations & group practices 2

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1548456700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAYES ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772067",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAYES ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305772067",
            "telephone_number": "706-886-3883",
            "fax_number": "706-886-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIB",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00817979A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.