Provider Demographics
NPI:1376877530
Name:ZIEBART INC
Entity Type:Organization
Organization Name:ZIEBART INC
Other - Org Name:OPTIMUM PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRIMARY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:ZIEBART
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:541-510-0801
Mailing Address - Street 1:2448 W HARVARD AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-2500
Mailing Address - Country:US
Mailing Address - Phone:541-510-0801
Mailing Address - Fax:
Practice Address - Street 1:2448 W HARVARD AVE
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-2500
Practice Address - Country:US
Practice Address - Phone:541-510-0801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty