Zachary Mravec, PT, DPT
Individual provider Active NPI Physical Therapist · Stanley, ND
NPI 1104418201 · NPPES record last updated Feb 9, 2021
Key facts
- NPI
- 1104418201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT019097 (OH)
- Practice address
- 615 6TH St SE
Stanley, ND 58784-4444 - Phone
- (701) 628-2424
- NPI assigned
- Feb 9, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT019097 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019097 | OH | Yes |
Addresses
Primary practice location
615 6TH St SE
Stanley, ND 58784-4444
Mailing address
4115 Spencer Rd
Rocky River, OH 44116-3869
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
- Heidi Lynn Nielsen
- North Kin Chiropractic PLLC
- Northern Home Care
- Opportunity Foundation Inc
All providers in Stanley, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.