Individual provider Active NPI

Erick Siqueira, DPT

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1780183459
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8802 Issued in AL
Practice address
1530 E Glenn Ave Ste C
Auburn, AL 36830-5730
Phone
(334) 502-7839
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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 PTH8802 AL Primary

Addresses

Primary practice location

1530 E Glenn Ave Ste C
Auburn, AL 36830-5730

Mailing address

2823 Greystone Commercial Blvd
Birmingham, AL 35242-2660
Phone (205) 745-3660

Other practice location 1

100 Chelsea Corners Way Ste 101
Chelsea, AL 35043-8207
Phone (205) 678-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180721000047 AL Practitioner - Physical Therapist in Private Practice 5294082251 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy South - Opelika LLCGroup PAC ID 9739427261, 6 clinicians

Practice addresses (Care Compare)

2701 Frederick Rd
Suite 310
Opelika, AL 36801-7281
Phone (334) 610-0354

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as group
Quality
87.53
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South Auburn LLC Physical Therapist CurrentSince Jan 5, 2019 Accepting new patients
Therapysouth Chelsea Physical Therapist CurrentSince Jan 31, 2018 Accepting new patients
Therapy South - Opelika LLC Physical Therapist CurrentSince Jan 5, 2019 Accepting new patients

Locations

1530 E Glenn Ave
Ste C
Auburn, AL 36830
Phone (334) 502-7839

100 Chelsea Corners Way
Ste 101
Chelsea, AL 35043
Phone (205) 678-7272

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

2701 Frederick Rd
Ste 310
Opelika, AL 36801
Phone (334) 610-0354

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.

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1780183459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 GREYSTONE COMMERCIAL BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422660",
            "telephone_number": "205-745-3660",
            "fax_number": "205-745-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E GLENN AVE STE C",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305730",
            "telephone_number": "334-502-7839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Chelsea Corners Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chelsea",
            "state": "AL",
            "postal_code": "350438207",
            "country_code": "US",
            "telephone_number": "205-678-7272",
            "fax_number": "205-678-7279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIQUEIRA",
        "first_name": "ERICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-07",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.