Provider Demographics
NPI:1215001631
Name:ZIEGE, JAMES ARTHUR (PT ABDA CEAS)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARTHUR
Last Name:ZIEGE
Suffix:
Gender:M
Credentials:PT ABDA CEAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15027 MADISON PIKE
Mailing Address - Street 2:
Mailing Address - City:MORNING VIEW
Mailing Address - State:KY
Mailing Address - Zip Code:41063-9664
Mailing Address - Country:US
Mailing Address - Phone:859-466-6355
Mailing Address - Fax:859-356-0783
Practice Address - Street 1:318 N MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:OWENTON
Practice Address - State:KY
Practice Address - Zip Code:40359-1430
Practice Address - Country:US
Practice Address - Phone:502-462-0094
Practice Address - Fax:502-462-1148
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY001712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000061164OtherANTHEM COMMUNITY
611317367OtherPHCS
KY8700008900Medicaid
6400193OtherUNITED HEALTHCARE
KY611317367OtherHUMANA
KY000000033127OtherANTHEM
1107782OtherFIRST HEALTH
AETNAOther2056189
CHAOther611317367
PT165OtherCHOICECARE
611317367OtherJF MOLLOY
611317367OtherBOILER MAKERS
KY000000033127OtherANTHEM