Individual provider Active NPI

Anthony Valentino Zeffiro, P.T.

  • Physical Therapist
  • Farmingville, NY
National Provider Identifier
1184840266
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009645 Issued in NY
Practice address
7 Beverly CT
Farmingville, NY 11738-1400
Phone
(631) 696-6981
Fax
(631) 696-6981
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 009645 NY Primary

Addresses

Primary practice location

7 Beverly CT
Farmingville, NY 11738-1400

Mailing address

7 Beverly CT
Farmingville, NY 11738-1400
Phone (631) 696-6981

Other identifiers 1

IdentifierTypeStateIssuer
P00366977OtherNYMEDICARE RAILRAOD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050923000076 NY Practitioner - Physical Therapist in Private Practice 6709810237 Practice locations: Farmingville, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009645NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1184840266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BEVERLY CT",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381400",
            "telephone_number": "631-696-6981",
            "fax_number": "631-696-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BEVERLY CT",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381400",
            "telephone_number": "631-696-6981",
            "fax_number": "631-696-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEFFIRO",
        "first_name": "ANTHONY",
        "middle_name": "VALENTINO",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "009645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILRAOD",
            "identifier": "P00366977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.