Raquel Ziegler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT6305 Issued in MS

Practice address

230-A Main St.
Nettleton, MS 38858

Phone

(662) 591-7077

Fax

(662) 591-7078

NPI assigned

Nov 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro PT

  dba Pro Therapy

  • Physical Therapist
  • Mantachie, MS
  • NPI 1629343124
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952813677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 135",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "388580135",
            "telephone_number": "662-591-7077",
            "fax_number": "662-591-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230-A MAIN ST.",
            "city": "NETTLETON",
            "state": "MS",
            "postal_code": "38858",
            "telephone_number": "662-591-7077",
            "fax_number": "662-591-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3077 Highway 371 N",
            "address_purpose": "LOCATION",
            "city": "Mantachie",
            "state": "MS",
            "postal_code": "388557274",
            "country_code": "US",
            "telephone_number": "662-282-4949",
            "fax_number": "662-282-4955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "RAQUEL",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT6305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Baulch Center, LLC
• Jerry Vaughn, PHARM D
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• Memory Brooke Williams, MS
• Audra Wright, RPH.

• Physical Therapist in Nettleton, MS
• Providers in Nettleton, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.