Individual provider Active NPI

Katrina Marie Siefken

  • Physical Therapist
  • Cibolo, TX
National Provider Identifier
1871943860
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1275225 Issued in TX
Practice address
232 Brite Rd Ste 113
Cibolo, TX 78108-3998
Phone
(210) 566-1269
Fax
(210) 566-1265
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 1275225 TX Primary

Addresses

Primary practice location

232 Brite Rd Ste 113
Cibolo, TX 78108-3998

Mailing address

12413 Judson Rd
Ste 260
Live Oak, TX 78233-3202
Phone (210) 656-7953

Other practice location 1

12413 Judson Rd
Ste 260
Live Oak, TX 78233-3202
Phone (210) 656-7953

Other names 1

  • Katrina Marie Mica Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001776 TX Practitioner - Physical Therapist in Private Practice 5597057737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

232 Brite Rd
Suite 113
Cibolo, TX 78108-3998
Phone (210) 566-1269

3875 E Southcross
Suite B
San Antonio, TX 78222-3521
Phone (210) 337-7953

Merit-based Incentive Payment System (MIPS)

Final score
49.35 of 100Reported as group
Quality
41.37
Improvement activities
20
Cost
63.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1275225TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jun 20, 2016 Accepting new patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jun 20, 2016 Accepting new patients

Locations

232 Brite Rd
Ste 113
Cibolo, TX 78108
Phone (210) 566-1269

12413 Judson Rd
Ste 260
Live Oak, TX 78233
Phone (210) 656-7953

3875 E Southcross Blvd
Ste B
San Antonio, TX 78222
Phone (210) 337-7953

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1871943860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD",
            "address_2": "STE 260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333202",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 BRITE RD STE 113",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083998",
            "telephone_number": "210-566-1269",
            "fax_number": "210-566-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12413 Judson Rd",
            "address_2": "Ste 260",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333202",
            "country_code": "US",
            "telephone_number": "210-656-7953",
            "fax_number": "210-656-7957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEFKEN",
        "first_name": "KATRINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1275225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "MICA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cibolo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.