Jill Linette Zupancic

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA.0012140 Issued in CO

Practice address

1401 Phay Ave
Canon City, CO 81212-2303

Phone

(719) 242-6023

NPI assigned

Oct 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1033686027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PHAY AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122303",
            "telephone_number": "719-242-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUPANCIC",
        "first_name": "JILL",
        "middle_name": "LINETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0012140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathey Jo Young, M.ED., O.T.R.
• Michele Denise Young, MS, LPP
• Vincent Takwing Yu, M.D.
• Zenity Alternative Medicine
• Mary Susan Zickefoose, M.D.

• Physical Therapy Assistant in Canon City, CO
• Providers in Canon City, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.