Active NPI
Yeimmy Ximena Zambrano, DPT
- Physical Therapist
- Astoria, NY
National Provider Identifier
1134494768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0258832
- Practice address
- 3015 29TH St
Astoria, NY 11102-2502 - Phone
- (718) 932-5650
- NPI assigned
- Mar 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0258832 | NY | Primary |
Addresses
Primary practice location
3015 29TH St
Astoria, NY 11102-2502
Mailing address
530 10TH Ave
New Hyde Park, NY 11040-5433
Phone (917) 968-2090
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 |
|---|---|---|---|
| 0258832 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1134494768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 10TH AVE",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110405433",
"telephone_number": "917-968-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 29TH ST",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111022502",
"telephone_number": "718-932-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "YEIMMY",
"middle_name": "XIMENA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0258832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.