Kevin Zieran, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

013453A Issued in AZ

Practice address

300 W Hospital Rd
Fort Eisenhower, GA 30905-5741

Phone

(912) 610-3536

NPI assigned

Aug 13, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Tipton Physical Therapy, LLC

  • Physical Therapist
  • Prescott Valley, AZ
  • NPI 1811954803
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1073169330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 TANNER OAKS DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095130",
            "telephone_number": "912-610-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT EISENHOWER",
            "state": "GA",
            "postal_code": "309055741",
            "telephone_number": "912-610-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIERAN",
        "first_name": "KEVIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "013453A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad David Woitas, PHYSICAL THERAPIST
• Hyrum Wright
• Peter Yoon, DDS
• Eileen Marie Zayas-Baez, PT, DPT
• Terrie Ziegler

• Physical Therapy Assistant in Fort Eisenhower, GA
• Providers in Fort Eisenhower, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.