Individual provider Active NPI

Erik Zamboni, DPT

  • Physical Therapist
  • Bend, OR
National Provider Identifier
1003951948
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4226 Issued in OR
Practice address
1558 SW Nancy Way
Suite 104
Bend, OR 97702-3216
Phone
(541) 312-2004
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4226 OR Primary

Addresses

Primary practice location

1558 SW Nancy Way
Suite 104
Bend, OR 97702-3216

Mailing address

1558 SW Nancy Way
Suite 104
Bend, OR 97702-3216
Phone (541) 312-2004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4226ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
US PT Turnkey Services Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003951948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBONI",
        "first_name": "ERIK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.