Individual provider Active NPI

Victoria Seiberlich, PTA

  • Physical Therapy Assistant
  • Camarillo, CA
National Provider Identifier
1619562402
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
50995 Issued in CA
Practice address
1100 Flynn Rd Ste 207
Camarillo, CA 93012-8737
Phone
(805) 388-5678
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 50995 CA Primary

Addresses

Primary practice location

1100 Flynn Rd Ste 207
Camarillo, CA 93012-8737

Mailing address

1552 Patricia Ave Apt 445
Simi Valley, CA 93065-0468
Phone (651) 528-9657

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

LicenseStateTypeSpecialty
50995CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Nicholl Physical Therapy & Sports Rehabilitation, Inc. CurrentSince Mar 7, 2021 Accepting new patients

Locations

1100 Flynn Rd
Ste 207
Camarillo, CA 93012
Phone (805) 388-5678

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1619562402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 PATRICIA AVE APT 445",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930650468",
            "telephone_number": "651-528-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FLYNN RD STE 207",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128737",
            "telephone_number": "805-388-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERLICH",
        "first_name": "VICTORIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "50995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.