Active NPI
Miranda Lisa Zito, LAT, ATC, EMT
- Athletic Trainer
- West Chester, PA
National Provider Identifier
1215605092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000567
- Practice address
- 700 S High St
West Chester, PA 19383-0001 - Phone
- (401) 742-7960
- NPI assigned
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 1032565 | PA | |
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | RTO000567 | PA | Primary |
Addresses
Primary practice location
700 S High St
West Chester, PA 19383-0001
Mailing address
615 Downingtown Pike Apt B302
West Chester, PA 19380-2273
Phone (401) 742-7960
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
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1032565 | PA | MD | Intermediate Emergency Medical Technician |
| RTO000567 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1215605092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DOWNINGTOWN PIKE APT B302",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193802273",
"telephone_number": "401-742-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 S HIGH ST",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193830001",
"telephone_number": "401-742-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITO",
"first_name": "MIRANDA",
"middle_name": "LISA",
"credential": "LAT, ATC, EMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Intermediate",
"state": "PA",
"license": "1032565",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.