Individual provider Active NPI

Kathleen Kershisnik Sieg, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1700426491
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0016760 Issued in CO
Practice address
10488 W Centennial Rd Ste 503
Littleton, CO 80127-6356
Phone
(720) 773-0833
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0016760 CO Primary

Addresses

Primary practice location

10488 W Centennial Rd Ste 503
Littleton, CO 80127-6356

Mailing address

11242 Moondance TRL
Littleton, CO 80125-1888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217001022 CO Practitioner - Physical Therapist in Private Practice 2961839774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Aurora, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10488 W Centennial Rd
Suite 301
Littleton, CO 80127-4293
Phone (720) 773-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016760COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rooted in Rehabilitation LLC Physical Therapist CurrentSince Apr 5, 2022 Accepting new patients
Physiomed LLC Single Specialty PastSince Jan 1, 2020 Accepting new patients

Locations

10488 W Centennial Rd
Ste 301
Littleton, CO 80127
Phone (720) 773-0833

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1700426491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11242 MOONDANCE TRL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801251888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10488 W CENTENNIAL RD STE 503",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801276356",
            "telephone_number": "720-773-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEG",
        "first_name": "KATHLEEN",
        "middle_name": "KERSHISNIK",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0016760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.