Active NPI
Vanessa Ziccardi, PT, DPT
- Physical Therapist
- Davie, FL
National Provider Identifier
1104273846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30587
- Practice address
- 5400 S University Dr Ste 302
Davie, FL 33328-5310 - Phone
- (754) 206-3772
- Fax
- (754) 206-3802
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT30587 | FL | Primary |
Addresses
Primary practice location
5400 S University Dr Ste 302
Davie, FL 33328-5310
Mailing address
5400 S University Dr Ste 302
Davie, FL 33328-5310
Phone (754) 206-3772
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT30587 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People First PT LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1104273846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 302",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285310",
"telephone_number": "754-206-3772",
"fax_number": "754-206-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 S UNIVERSITY DR STE 302",
"city": "DAVIE",
"state": "FL",
"postal_code": "333285310",
"telephone_number": "754-206-3772",
"fax_number": "754-206-3802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZICCARDI",
"first_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.