Individual provider Active NPI

Nancy J. Siegel, MS PT, RCST

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1871574657
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1514 Issued in MT
Practice address
4604 Juniper Dr
Missoula, MT 59802-5240
Phone
(406) 544-9474
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
Yes

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 1514 MT Primary

Addresses

Primary practice location

4604 Juniper Dr
Missoula, MT 59802-5240

Mailing address

4604 Juniper Dr
Missoula, MT 59802-5240
Phone (406) 544-9474

Other identifiers 3

IdentifierTypeStateIssuer
61876OtherMTBCBS
MSF1157182OtherMTMT STATE FUND WORK COMP
3401445MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1514MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy PC Physical Therapist PastSince Aug 3, 2015 Accepting new patients
Frenchtown Physical Therapy Inc PastSince Sep 23, 2013 Accepting new patients

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": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871574657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 JUNIPER DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598025240",
            "telephone_number": "406-544-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 JUNIPER DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598025240",
            "telephone_number": "406-544-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "NANCY",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "MS PT, RCST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "61876",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT STATE FUND WORK COMP",
            "identifier": "MSF1157182",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401445",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.