Individual provider Active NPI

Zachary Puglia

  • Physical Therapist
  • Dover, NH
National Provider Identifier
1073094488
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24153
Practice address
789 Central Ave
Dover, NH 03820-2526
Phone
(603) 868-8580
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5249 ME
Physical Therapist 225100000X 18186 NC
Physical Therapist 225100000X 24153 Primary

Addresses

Primary practice location

789 Central Ave
Dover, NH 03820-2526

Mailing address

90 Plymouth Dr Apt a
Norwood, MA 02062-5441

Other practice location 1

677 Tallulah Falls Dr
Denver, NC 28037-6102
Phone (203) 648-1169

Other practice location 2

31 W Grove St
Middleboro, MA 02346-1859
Phone (508) 947-5195

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
24153MAMDPharmacist
PT5249MEMDPhysical Therapist
18186NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1073094488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PLYMOUTH DR APT A",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020625441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-868-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Tallulah Falls Dr",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "NC",
            "postal_code": "280376102",
            "country_code": "US",
            "telephone_number": "203-648-1169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 W Grove St",
            "address_purpose": "LOCATION",
            "city": "Middleboro",
            "state": "MA",
            "postal_code": "023461859",
            "country_code": "US",
            "telephone_number": "508-947-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGLIA",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5249",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "18186",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "24153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.