Zaumyuawng Wabaw

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29912 Issued in FL

Practice address

2835 Childress Dr
Anderson, CA 96007-3563

Phone

(530) 378-0998

NPI assigned

Mar 7, 2022

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

Locations

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.

• Northern Asset Management Inc

  • Physical Therapist
  • Anderson, CA
  • NPI 1679599161
  NPD
• Farwest Rehabilitation, Inc

  • Specialist
  • Redding, CA
  • NPI 1861406100
  NPD (past)

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1073260337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 CHILDRESS DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073563",
            "telephone_number": "530-378-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 CHILDRESS DR",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960073563",
            "telephone_number": "530-378-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WABAW",
        "first_name": "ZAUMYUAWNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Neal Tucker, MS
• Joshlynn Rose Turner
• Dianna L Varnell, LVN
• Madelyne Veverrakenner
• Votc, Inc.
• Cori Wallace
• Walmart Inc.
• Walmart Stores, Inc.
• Abigail Welfringer
• Colleen Whelen

• Physical Therapy Assistant in Anderson, CA
• Providers in Anderson, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.