Individual provider Active NPI

John Charles Seivert, MS PT GDMT

  • Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1730199738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
OPT13037 Issued in CA
Practice address
1020 McCourtney Rd
D Seivert Physical Therapy PC
Grass Valley, CA 95949-7400
Phone
(530) 272-7306
Fax
(530) 272-7316
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 OPT13037 CA Primary

Addresses

Primary practice location

1020 McCourtney Rd
D Seivert Physical Therapy PC
Grass Valley, CA 95949-7400

Mailing address

1020 McCourtney Rd
D
Grass Valley, CA 95949-7400
Phone (530) 272-7306

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ08443ZOtherCABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000862 CA Practitioner - Physical Therapist in Private Practice 9436042330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

715 Maltman Dr
Grass Valley, CA 95945-5184
Phone (530) 272-7306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OPT13037CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Logic Physical Therapy, P.C. Physical Therapist CurrentSince Dec 23, 2013 Accepting new patients
Seivert Physical Therapy PC Physical Therapist CurrentSince Dec 23, 2013 Accepting new patients

Locations

1020 McCourtney Rd
Ste D
Grass Valley, CA 95949
Phone (530) 272-7306

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730199738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 MCCOURTNEY RD",
            "address_2": "D",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "530-272-7306",
            "fax_number": "530-272-7316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MCCOURTNEY RD",
            "address_2": "D SEIVERT PHYSICAL THERAPY PC",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959497400",
            "telephone_number": "530-272-7306",
            "fax_number": "530-272-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIVERT",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MS PT GDMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "OPT13037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ08443Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.