Active NPI
Mary Tripti Zacharia, P.T.
- Physical Therapist
- Vernon Hills, IL
National Provider Identifier
1154592962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 977 Lakeview Pkwy
Ste 109
Vernon Hills, IL 60061-1400 - Phone
- (847) 932-1079
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 | IL | Primary |
Addresses
Primary practice location
977 Lakeview Pkwy
Ste 109
Vernon Hills, IL 60061-1400
Mailing address
2014 Cypress CT
Glendale Heights, IL 60139-1765
Phone (847) 932-1079
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070014867 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1154592962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 CYPRESS CT",
"city": "GLENDALE HEIGHTS",
"state": "IL",
"postal_code": "601391765",
"telephone_number": "847-932-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 LAKEVIEW PKWY",
"address_2": "STE 109",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611400",
"telephone_number": "847-932-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIA",
"first_name": "MARY",
"middle_name": "TRIPTI",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.