Active NPI
Zachary Cronauer, PTA
- Physical Therapy Assistant
- Murrells Inlet, SC
National Provider Identifier
1043090319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 43211
- Practice address
- 3545 Frontage Road
Suite 200
Murrells Inlet, SC 29576 - Phone
- (843) 353-3460
- NPI assigned
- Oct 3, 2023
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 43211 | SC | Primary |
Addresses
Primary practice location
3545 Frontage Road
Suite 200
Murrells Inlet, SC 29576
Mailing address
4440 Goldflower Loop
Unit 8-B2
Murrells Inlet, SC 29576
Phone (814) 322-7720
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 |
|---|---|---|---|
| 43211 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1043090319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 GOLDFLOWER LOOP",
"address_2": "UNIT 8-B2",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29576",
"telephone_number": "814-322-7720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 FRONTAGE ROAD",
"address_2": "SUITE 200",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "29576",
"telephone_number": "843-353-3460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRONAUER",
"first_name": "ZACHARY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "43211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.