Active NPI
Elizabeth Ann Zanca
- Occupational Therapy Assistant
- Irving, TX
National Provider Identifier
1033989454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 217787
- Practice address
- 1333 Corporate Dr Ste 330
Irving, TX 75038-2583 - Phone
- (972) 871-1800
- NPI assigned
- Jan 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 217787 | TX | Primary |
Addresses
Primary practice location
1333 Corporate Dr Ste 330
Irving, TX 75038-2583
Mailing address
1333 Corporate Dr Ste 330
Irving, TX 75038-2583
Phone (972) 871-1800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217787 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FST, LLC | Current | Accepting new patients |
Locations
1333 Corporate Dr
Ste 330
Irving, TX 75038
Phone (972) 871-1800
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": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1033989454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 CORPORATE DR STE 330",
"city": "IRVING",
"state": "TX",
"postal_code": "750382583",
"telephone_number": "972-871-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 CORPORATE DR STE 330",
"city": "IRVING",
"state": "TX",
"postal_code": "750382583",
"telephone_number": "972-871-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANCA",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "217787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.