Active NPI
Lauren Kathryn Zietsman, PT
- Pediatric Physical Therapist
- Owego, NY
National Provider Identifier
1114263555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 035834
- Practice address
- 1868 E Beecher Hill Rd
Owego, NY 13827-3815 - Phone
- (877) 426-3307
- NPI assigned
- Dec 12, 2012
- Last updated
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 035834 | NY | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 035834-1 | NY |
Addresses
Primary practice location
1868 E Beecher Hill Rd
Owego, NY 13827-3815
Mailing address
532 Murray Hill Rd
Vestal, NY 13850-3824
Phone (315) 396-4092
Other practice location 1
532 Murray Hill Rd
Vestal, NY 13850-3824
Phone (315) 396-4092
Other practice location 2
25 Little Plains Rd
Huntington, NY 11743-4550
Phone (631) 266-4400
Other practice location 3
532 Murray Hill Rd
Vestal, NY 13850-3824
Phone (315) 396-4092
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 |
|---|---|---|---|
| 035834-1 | NY | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1114263555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 MURRAY HILL RD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138503824",
"telephone_number": "315-396-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1868 E BEECHER HILL RD",
"city": "OWEGO",
"state": "NY",
"postal_code": "138273815",
"telephone_number": "877-426-3307"
}
],
"practiceLocations": [
{
"address_1": "532 Murray Hill Rd",
"address_purpose": "LOCATION",
"city": "Vestal",
"state": "NY",
"postal_code": "138503824",
"country_code": "US",
"telephone_number": "315-396-4092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Little Plains Rd",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "117434550",
"country_code": "US",
"telephone_number": "631-266-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "532 Murray Hill Rd",
"address_purpose": "LOCATION",
"city": "Vestal",
"state": "NY",
"postal_code": "138503824",
"country_code": "US",
"telephone_number": "315-396-4092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIETSMAN",
"first_name": "LAUREN",
"middle_name": "KATHRYN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "035834",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "035834-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.