NPIMap

Individual provider Active NPI

Thomas W Zaucha, PT

  • Clinical Electrophysiology Physical Therapist
  • Indiana, PA
National Provider Identifier
1134423809
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT002307L Issued in PA
Practice address
1265 Wayne Ave
119 Professional Center, Suite 312
Indiana, PA 15701-3501
Phone
(724) 801-8894
Fax
(724) 465-6032
NPI assigned
Jan 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X PT002307L PA Primary

Addresses

Primary practice location

1265 Wayne Ave
119 Professional Center, Suite 312
Indiana, PA 15701-3501

Mailing address

9 N 7TH St
2ND Floor, Townplace Victoria
Indiana, PA 15701-1880
Phone (724) 801-8894

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
PT002307LPAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients
Penn Neuromuscular Diagnostics, LLC Past Accepting new patients

Organizations & group practices 12

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1134423809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 7TH ST",
            "address_2": "2ND FLOOR, TOWNPLACE VICTORIA",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157011880",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER, SUITE 312",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-801-8894",
            "fax_number": "724-465-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUCHA",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "PT002307L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.