Active NPI
Jennifer D Zumwalt
- Physical Therapist
- Beaumont, TX
National Provider Identifier
1215092192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1083251
- Practice address
- 2750 S 8TH St
Beaumont, TX 77701-7719 - Phone
- (409) 839-1000
- Fax
- (409) 839-1066
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1083251 | TX | Primary |
Addresses
Primary practice location
2750 S 8TH St
Beaumont, TX 77701-7719
Mailing address
2750 S 8TH St
P O Box 3846
Beaumont, TX 77701-7719
Phone (409) 839-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0630907 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1083251 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1215092192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 S 8TH ST",
"address_2": "P O BOX 3846",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777017719",
"telephone_number": "409-839-1000",
"fax_number": "409-839-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S 8TH ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777017719",
"telephone_number": "409-839-1000",
"fax_number": "409-839-1066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUMWALT",
"first_name": "JENNIFER",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1083251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0630907",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
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.