Provider Demographics
NPI:1891794343
Name:SEIBERT, JAMES E (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:SEIBERT
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 ROLKIN CT
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3586
Mailing Address - Country:US
Mailing Address - Phone:434-977-6700
Mailing Address - Fax:434-977-6779
Practice Address - Street 1:1405 ROLKIN CT
Practice Address - Street 2:SUITE 102
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3586
Practice Address - Country:US
Practice Address - Phone:434-977-6700
Practice Address - Fax:434-977-6779
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005142225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA151932OtherSOUTHERN HEALTH
VA453476OtherANTHEM
VA453476OtherANTHEM