Individual provider Active NPI

Cari Ann Zubke, LAT, ATC,

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Georgetown, TX
National Provider Identifier
1124516232
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
105404 Issued in IA
Practice address
1001 E University Ave
Georgetown, TX 78626-6100
Phone
(512) 860-1382
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X AT5130 TX
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 105404 IA Primary

Addresses

Primary practice location

1001 E University Ave
Georgetown, TX 78626-6100

Mailing address

1114 Bluegrass Cir Apt 4
Cedar Falls, IA 50613-8165
Phone (316) 204-9870

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

LicenseStateTypeSpecialty
105404IAMDSports Medicine (Physical Medicine & Rehabilitation) Physician
AT5130TXMDSports Medicine (Physical Medicine & Rehabilitation) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1124516232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 BLUEGRASS CIR APT 4",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506138165",
            "telephone_number": "316-204-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266100",
            "telephone_number": "512-860-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBKE",
        "first_name": "CARI",
        "middle_name": "ANN",
        "credential": "LAT, ATC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "AT5130",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IA",
            "license": "105404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.