Mary Beth Zendzian, PTA
Individual provider Active NPI Physical Therapy Assistant · Rutland, VT
NPI 1124369079 · NPPES record last updated Mar 1, 2013
Key facts
- NPI
- 1124369079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 041.0000405 (VT)
- Practice address
- 46 Nichols St
Rutland, VT 05701-3275 - Phone
- (860) 888-2695
- NPI assigned
- Mar 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 041.0000405 | VT | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 041.0000405 | VT | Yes |
Addresses
Primary practice location
46 Nichols St
Rutland, VT 05701-3275
Mailing address
PO Box 126
Rutland, VT 05702-0126
Phone (860) 888-2695
Other providers in Rutland, VT
- Keri-Lynn Marie Yonika
- Bradley David Young
- Jane F Young
- Rebekah Denise Young
- Lorene Zeif
- Matthew G Zmurko
- Michael T Zmurko
- Caitlin Ann Zorzi
- William P Zuber
All providers in Rutland, VT · Physical Therapy Assistant in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2013. 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.