NPIMap

Organization Active NPI

ZR Ziegelbaum RPT

  • Clinic/Center
  • Port Washington, NY
National Provider Identifier
1205600194
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ZR ZIEGELBAUM RPT
Practice address
26 Manorhaven Blvd
Port Washington, NY 11050-1608
Phone
(516) 944-8798
Fax
(516) 944-9354
NPI assigned
Nov 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Robert Ziegelbaum, DPTNPI 1811231608
Title
Owner/Partner
Phone
(516) 944-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

26 Manorhaven Blvd
Port Washington, NY 11050-1608

Mailing address

26 Manorhaven Blvd
Port Washington, NY 11050-1608
Phone (516) 944-8798

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240206000064 NY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4385087550 Receives reassigned benefits from 3 practitioners
Practice locations: Port Washington, NY

National Provider Directory

National Provider Directory

Locations

26 Manorhaven Blvd
Prt Washingtn, NY 11050
Phone (516) 944-8798

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1205600194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501608",
            "telephone_number": "516-944-8798",
            "fax_number": "516-944-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501608",
            "telephone_number": "516-944-8798",
            "fax_number": "516-944-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZR ZIEGELBAUM RPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "ZIEGELBAUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "516-944-8798",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.