LOGAN ALEXANDER SIEMERS PT, DPT
NPI 1245055763
Physical Medicine & Rehabilitation - Sports Medicine in Irvine, CA

Active since November 19, 2024Accepts Medicare Assignment
17241 MURPHY AVE, IRVINE, CA 92614(530) 559-9246 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Logan Alexander Siemers Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN ALEXANDER SIEMERS PT, DPT (NPI 1245055763) is an individual sports medicine provider in Irvine, California, licensed in California (306509) and active in the NPI registry since November 2024. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1245055763
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameLOGAN ALEXANDER SIEMERSCredential: PT, DPT
Location Address17241 MURPHY AVEIrvine, CA 92614-5917
Mailing Address18428 Oak Canyon Rd Apt 574Canyon Country, CA 91387-6358
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1245055763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in CA · 306509
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
17241 MURPHY AVE, Irvine, CA 92614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Alexander Siemers Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870029937
PECOS Enrollment IDI20241212001340

Medicare Billing Reassignment

Medicare enrollment records show Logan Siemers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2101 E 4TH ST, #170
Santa Ana, CA 92705
  • Reassigned Medicare billing, California enrollment
  • 286 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
17241 MURPHY AVE
IRVINE, CA 92614
Physical Therapist
17241 MURPHY AVE
IRVINE, CA 92614
Clinic/Center (Physical Therapy)
17241 MURPHY AVE
IRVINE, CA 92614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Siemers's NPI number?

The NPI number for Logan Siemers is 1245055763. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Logan Siemers located?

Logan Siemers practices at 17241 Murphy Ave, Irvine, CA 92614. The listed phone number is (530) 559-9246.

What is Logan Siemers's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Logan Siemers enrolled in Medicare?

Yes. Logan Siemers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Logan Siemers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Siemers reassigns Medicare benefits to California Rehabilitation & Sports Therapy A California Physical Ther (Santa Ana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Siemers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Logan Siemers was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.