L Michael Siegenthaler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2167 Issued in OK

Practice address

813 E 6TH St Ste 300
Okmulgee, OK 74447-4701

Phone

(918) 756-3330

Fax

(918) 756-3332

NPI assigned

Feb 22, 2006

Last updated

Aug 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Larry Michael Siegenthaler Other name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Rehab ConsultantsGroup PAC ID 3375893936, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Impact Rehab Consultants

  dba Impact Rehabilitation and wellness

  • Occupational Therapist
  • Okmulgee, OK
  • NPI 1972097657
  Medicare reassignment Care Compare group NPD
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1033277413
  Medicare reassignment NPD
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
  • NPI 1942368329
  NPD
• Excel Therapy Specialists--Okc LLC

  • Physical Therapist
  • Chickasha, OK
  • NPI 1649643180
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1801861711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E 6TH ST STE 300",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474701",
            "telephone_number": "918-756-3330",
            "fax_number": "918-756-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E 6TH ST STE 300",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474701",
            "telephone_number": "918-756-3330",
            "fax_number": "918-756-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGENTHALER",
        "first_name": "L",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100833730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "SIEGENTHALER",
            "middle_name": "MICHAEL",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Billy Christopher Sferner
• Ladonna Kay Shadlow, CBHCM, BA
• Shantel Farrow
• Kathryn Shelby
• Kristine Grunewald Siegenthaler, OTRL/CHT/CLT
• Chandra Monique Simmons
• Tori Singler, PTA
• Abby Smith, MS - SLP
• Elizabeth Snider
• Roma Snowball, BA CM

• Physical Therapist in Okmulgee, OK
• Providers in Okmulgee, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.