Jack Zygmunt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17841 Issued in MD

Practice address

626 Trail Ave
Frederick, MD 21701-4934

Phone

(301) 662-1997

Fax

(301) 668-2202

NPI assigned

Jul 25, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Homecare Rehab and Nursing LLC

  • Physical Medicine & Rehabilitation Physician
  • Frederick, MD
  • NPI 1235387762

  Physical Therapist

  NPD (past)
• Homecare Rehab, LLC

  • Speech/Language/Hearing Specialist/Technologist
  • Frederick, MD
  • NPI 1336254192

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1053334656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 TRAIL AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014934",
            "telephone_number": "301-662-1997",
            "fax_number": "301-668-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 TRAIL AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014934",
            "telephone_number": "301-662-1997",
            "fax_number": "301-668-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYGMUNT",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "17841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "KBC4HO-64125101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "S404-0014",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olivia Christine Zucco, M.A., B.C.B.A.
• Salam Zughayer, DO
• Cassandra Robin Zurbuch, PT, DPT
• Keith Edward Zurbuch, PT
• Garrit Zwakenberg III, PTA

• Physical Therapist in Frederick, MD
• Providers in Frederick, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.