Active NPI
Susan Elizabeth Siegmund, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1740205103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2446
- Practice address
- 5030 Grover St
Omaha, NE 68106-3831 - Phone
- (402) 659-4346
- Fax
- (402) 551-3257
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2446 | NE | Primary |
| Physical Therapist | 225100000X | 03965 | IA |
Addresses
Primary practice location
5030 Grover St
Omaha, NE 68106-3831
Mailing address
5030 Grover St
Omaha, NE 68106-3831
Phone (402) 659-4346
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025229000 | Medicaid | NE |
Other names 1
- Susan Elizabeth Lofgren
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19111 Mason PLZ
Elkhorn, NE 68022-5659
Phone (402) 504-9797
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03965 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siegmund Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Locations
19111 Mason Plz
Elkhorn, NE 68022
Phone (402) 504-9797
5030 Grover St
Omaha, NE 68106
Phone (402) 551-0575
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Omaha, NE
- NPI 1306178447
Physical Therapist
-
- Rehabilitation Clinic/Center
- Omaha, NE
- NPI 1508086406
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1740205103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 GROVER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063831",
"telephone_number": "402-659-4346",
"fax_number": "402-551-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 GROVER ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681063831",
"telephone_number": "402-659-4346",
"fax_number": "402-551-3257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGMUND",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2446",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03965",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025229000",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "LOFGREN",
"middle_name": "ELIZABETH",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.