Individual provider Active NPI

Antonette C Pangan-Zayas, P.T.

  • Physical Therapist
  • Ocala, FL
National Provider Identifier
1124029418
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT20605 Issued in FL
Practice address
1501 SE 24TH Rd
Ocala, FL 34471-6005
Phone
(352) 629-8900
Fax
(352) 629-8900
NPI assigned
Aug 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT20605 FL Primary

Addresses

Primary practice location

1501 SE 24TH Rd
Ocala, FL 34471-6005

Mailing address

3948 SW 57TH Ave
Ocala, FL 34474-9721
Phone (352) 789-6765

Other names 1

  • Antonette C Pangan Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20605FLMDPhysical Therapist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients
Rehab Axis,Inc. Physical Therapist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1124029418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 SW 57TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344749721",
            "telephone_number": "352-789-6765",
            "fax_number": "352-789-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SE 24TH RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716005",
            "telephone_number": "352-629-8900",
            "fax_number": "352-629-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGAN-ZAYAS",
        "first_name": "ANTONETTE",
        "middle_name": "C",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT20605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONETTE",
            "last_name": "PANGAN",
            "middle_name": "C",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.