Alexa Siefker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017862 Issued in OH

Practice address

3864 Center Rd Ste B1
Brunswick, OH 44212-6601

Phone

(330) 220-8950

Fax

(855) 389-1612

NPI assigned

May 29, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alexa Katrinchak Former name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Cleveland University of Medicine and Surgery - NLG, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Activ Physical Therapy, LLCGroup PAC ID 8628178274, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Activ Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Richfield, OH
  • NPI 1407072275
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1962069666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 CENTER RD STE B1",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126601",
            "telephone_number": "330-220-8950",
            "fax_number": "855-389-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 CENTER RD STE B1",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442126601",
            "telephone_number": "330-220-8950",
            "fax_number": "855-389-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFKER",
        "first_name": "ALEXA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "KATRINCHAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannan C. Ross M.D, Inc.
• Husna Ara Shariff
• Susan Finette Shaw, PTA
• Jessica Sherwood
• Alan Dale Shotzbarger
• Gina Simoni, LPN
• Cooper James Siurek, ATC
• Jodi L Siurek
• Sixfinity LLC
• Igor Joseph Skalsky, DDS

• Physical Therapist in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.