Active NPI
Zachary Mravec, PT, DPT
- Physical Therapist
- Stanley, ND
National Provider Identifier
1104418201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT019097
- Practice address
- 615 6TH St SE
Stanley, ND 58784-4444 - Phone
- (701) 628-2424
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 | PT019097 | OH | Primary |
Addresses
Primary practice location
615 6TH St SE
Stanley, ND 58784-4444
Mailing address
4115 Spencer Rd
Rocky River, OH 44116-3869
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 |
|---|---|---|---|
| PT019097 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1104418201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 SPENCER RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 6TH ST SE",
"city": "STANLEY",
"state": "ND",
"postal_code": "587844444",
"telephone_number": "701-628-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRAVEC",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT019097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanley, ND
- Mountrail County Medical Center, Inc.
- Mountrail County Medical Center, Inc.
- Mountrail County Medical Center, Inc.
- Mountrail County Medical Center, Inc.
- Mountrail County Social Services
- Tara M Nardacci, N.P.
- Heidi Lynn Nielsen, DPT
- North Kin Chiropractic PLLC
- Northern Home Care
- Opportunity Foundation Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.