Active NPI
Shaun Steffen Siebeneicher, PT, DPT
- Physical Therapist
- Pineville, LA
National Provider Identifier
1598145674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05200
- Practice address
- 2495 Shreveport Hwy # 71
Pineville, LA 71360-4044 - Phone
- (318) 466-4452
- NPI assigned
- Jun 4, 2015
- Sex
- Male
- 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 | 05200 | LA | Primary |
Addresses
Primary practice location
2495 Shreveport Hwy # 71
Pineville, LA 71360-4044
Mailing address
604 Calderwood Dr
Alexandria, LA 71303-3791
Phone (318) 466-4452
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 |
|---|---|---|---|
| 05200 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1598145674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 CALDERWOOD DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033791",
"telephone_number": "318-466-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 SHREVEPORT HWY # 71",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713604044",
"telephone_number": "318-466-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEBENEICHER",
"first_name": "SHAUN",
"middle_name": "STEFFEN",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-04",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "05200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.