Active NPI
Cari Ann Zubke, LAT, ATC,
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Georgetown, TX
National Provider Identifier
1124516232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 105404
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 105404 | IA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| AT5130 | TX | MD | Sports 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.