Individual provider Active NPI

Zivana Sabljic-Myers, PT

  • Physical Therapist
  • Shippensburg, PA
National Provider Identifier
1194920801
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020003 Issued in PA
Practice address
20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone
(717) 477-8030
Fax
(717) 477-8040
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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 PT020003 PA Primary

Addresses

Primary practice location

20 Park PL
Suite 2
Shippensburg, PA 17257-9806

Mailing address

20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone (717) 477-8030

Other identifiers 1

IdentifierTypeStateIssuer
1025514930001MedicaidPA

Other names 1

  • Zivana Sabljic Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090909000389 PA Practitioner - Physical Therapist in Private Practice 4688729098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shippensburg Physical Therapy and Sports Medicine LLCGroup PAC ID 2860598364, 18 clinicians

Practice addresses (Care Compare)

20 Park PL
Suite 2
Shippensburg, PA 17257-9806
Phone (717) 447-8030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shippensburg Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Nov 29, 2010 Accepting new patients

Locations

1007 Wayne Ave
Chambersburg, PA 17201
Phone (717) 263-5147

371 E Water St
Ste 1
Gettysburg, PA 17325
Phone (717) 549-2945

145 E Baltimore St
Ste 2
Greencastle, PA 17225
Phone (717) 643-1813

91 S High St
#3
Newville, PA 17241
Phone (717) 477-8030

20 Park Pl
#2
Shippensburg, PA 17257
Phone (717) 477-8030

118 Walnut St
Ste 114
Waynesboro, PA 17268
Phone (717) 559-0559

Organizations & group practices 1

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1194920801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK PL",
            "address_2": "SUITE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK PL",
            "address_2": "SUITE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579806",
            "telephone_number": "717-477-8030",
            "fax_number": "717-477-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLJIC-MYERS",
        "first_name": "ZIVANA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025514930001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZIVANA",
            "last_name": "SABLJIC",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shippensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.