Individual provider Active NPI

Margaret A Zastrow, LPT

  • Physical Therapist
  • Fayetteville, NC
National Provider Identifier
1205980018
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3576 Issued in NC
Practice address
3637 Sycamore Dairy Rd
Fayetteville, NC 28303-3415
Phone
(910) 487-1832
Fax
(910) 487-6950
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 3576 NC Primary

Addresses

Primary practice location

3637 Sycamore Dairy Rd
Fayetteville, NC 28303-3415

Mailing address

107 Camellia Dr
Fayetteville, NC 28303-7027
Phone (910) 483-0329

Other identifiers 4

IdentifierTypeStateIssuer
7289838MedicaidNC
7211258OtherNCMEDICAID GROUP PROVIDER #
013X1OtherNCBCBS GROUP PROV. #
07879OtherNCBCBS INDIV.PROV #

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzgerald'S Children'S Therapy Center, Inc. Physical Therapist Past Accepting new patients

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205980018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CAMELLIA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283037027",
            "telephone_number": "910-483-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 SYCAMORE DAIRY RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283033415",
            "telephone_number": "910-487-1832",
            "fax_number": "910-487-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7289838",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP PROVIDER #",
            "identifier": "7211258",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROV. #",
            "identifier": "013X1",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIV.PROV #",
            "identifier": "07879",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.