Provider Demographics
NPI:1952309254
Name:NIGGEL, THOMAS SCOTT (PT, OCS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:SCOTT
Last Name:NIGGEL
Suffix:
Gender:M
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 MORAINE POINTE PLZ
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2414
Mailing Address - Country:US
Mailing Address - Phone:724-283-7377
Mailing Address - Fax:724-283-3589
Practice Address - Street 1:610 MORAINE POINTE PLZ
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2414
Practice Address - Country:US
Practice Address - Phone:724-283-7377
Practice Address - Fax:724-283-3589
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT012690L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083806RK3Medicare ID - Type UnspecifiedMEDICARE