Provider Demographics
NPI:1285775015
Name:ZIEGLER, IRENE U (LPT)
Entity type:Individual
Prefix:MS
First Name:IRENE
Middle Name:U
Last Name:ZIEGLER
Suffix:
Gender:
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BROOK LANE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAINTOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707
Mailing Address - Country:US
Mailing Address - Phone:570-829-2453
Mailing Address - Fax:570-829-2462
Practice Address - Street 1:71 NORTH FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18701
Practice Address - Country:US
Practice Address - Phone:570-829-2453
Practice Address - Fax:570-829-2462
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007573L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017645100002Medicaid