Active NPI
Clarence James Ziegler III, MS PT
- Physical Therapist
- Rochester, NY
National Provider Identifier
1780220756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 024298
- Practice address
- 2021 Winton Rd S
Rochester, NY 14618-3957 - Phone
- (585) 784-6530
- Fax
- (585) 341-2430
- NPI assigned
- Nov 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 024298 | NY | Primary |
Addresses
Primary practice location
2021 Winton Rd S
Rochester, NY 14618-3957
Mailing address
27 Helmsford Way
Penfield, NY 14526-1971
Phone (585) 747-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024298 | NY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574640000000",
"number": "1780220756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 HELMSFORD WAY",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261971",
"telephone_number": "585-747-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 WINTON RD S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146183957",
"telephone_number": "585-784-6530",
"fax_number": "585-341-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEGLER",
"first_name": "CLARENCE",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-25",
"last_updated": "2019-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "024298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.