Individual provider Active NPI

Janet Zimmerman Gombar, PT

  • Physical Therapist
  • Chandler, AZ
National Provider Identifier
1194450650
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002746L Issued in PA
Practice address
1445 S Spectrum Blvd Ste 100
Chandler, AZ 85286-8455
Phone
(412) 595-7304
Fax
(412) 595-7304
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
PT002746LPAMDPhysical Therapist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002746L PA Primary

Addresses

NPPES NPI Registry

Primary practice location

1445 S Spectrum Blvd Ste 100
Chandler, AZ 85286-8455

Mailing address

2433 Huntington Dr
Pittsburgh, PA 15241-2530
Phone (412) 595-7304

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL tivityhealth.com Healthways Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2022.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1194450650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 HUNTINGTON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152412530",
            "telephone_number": "412-595-7304",
            "fax_number": "412-595-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 S SPECTRUM BLVD STE 100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852868455",
            "telephone_number": "412-595-7304",
            "fax_number": "412-595-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBAR",
        "first_name": "JANET",
        "middle_name": "ZIMMERMAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002746L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tivityhealth.com",
            "affiliation": "Y",
            "affiliationName": "Healthways Inc",
            "address_1": "1445 S Spectrum Blvd Ste 100",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852868455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.