Provider Demographics
NPI:1437320728
Name:STIEGLITZ, MEREDETH (PT)
Entity type:Individual
Prefix:
First Name:MEREDETH
Middle Name:
Last Name:STIEGLITZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 FM 306 STE 120-353
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5488
Mailing Address - Country:US
Mailing Address - Phone:518-618-4938
Mailing Address - Fax:
Practice Address - Street 1:COMPREHENSIVE PHYSICAL THERAPY
Practice Address - Street 2:244 FM 306 SUITE 120-353
Practice Address - City:NEW BRAUFLES
Practice Address - State:TX
Practice Address - Zip Code:78130
Practice Address - Country:US
Practice Address - Phone:518-618-4938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014010-1174400000X, 261QP2000X
TX1356211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialist
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY014010-1OtherNYS DEPT OF ED
TX1356211OtherTEXAS ECPTOTE