Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathan Seibold

Individual provider Physical Therapist · NPI 1215433743

Nathan Seibold is a Physical Therapist in Private Practice in Grand Blanc, Michigan. Qualified in 2012, 14 years ago. Practices with Elite Physical Therapy and Wellness, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2018
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Practice location Address checks out

861 Health Park Blvd
Grand Blanc, MI 48439-7383
Phone: (810) 953-0095
Fax: (810) 579-0916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501016086 (MI)

Record details

NPI number1215433743
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2018
Last updated in NPPESMarch 8, 2023
Certification dateMarch 8, 2023
Mailing address3495 S Center Rd, Burton, MI 48519-1455

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Elite Physical Therapy And Wellness — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Blanc