Individual provider Active NPI

Gloria B Zapata, PT

  • Physical Therapist
  • Jackson Heights, NY
National Provider Identifier
1063456804
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1270021 Issued in TX
Practice address
8211 37TH Ave Ste 602
Jackson Heights, NY 11372-7015
Phone
(718) 932-1818
Fax
(718) 932-3222
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 024831 NY
Physical Therapist 225100000X 1270021 TX Primary

Addresses

Primary practice location

8211 37TH Ave Ste 602
Jackson Heights, NY 11372-7015

Mailing address

8211 37TH Ave Ste 602
Jackson Heights, NY 11372-7015
Phone (718) 932-1818

Other identifiers 1

IdentifierTypeStateIssuer
02412260MedicaidNY

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
024831NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1063456804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 37TH AVE STE 602",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727015",
            "telephone_number": "718-932-1818",
            "fax_number": "718-932-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 37TH AVE STE 602",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727015",
            "telephone_number": "718-932-1818",
            "fax_number": "718-932-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "GLORIA",
        "middle_name": "B",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "024831",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1270021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02412260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.