Michelle Zgaynor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

108147 Issued in MO

Practice address

22 County Road 445
Poplar Bluff, MO 63901-1530

Phone

(573) 718-2279

Fax

(573) 785-3966

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Integrated Therapy Services LLC

  • Physical Therapist
  • Poplar Bluff, MO
  • NPI 1225459712
  NPD
• Cardio Pulmonary Rehab

  • Registered Dietitian
  • Poplar Bluff, MO
  • NPI 1770555674
  NPD (past)
• Ozark Physical Therapy, LLP

  • Durable Medical Equipment & Medical Supplies
  • Poplar Bluff, MO
  • NPI 1942272836
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1245295484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 COUNTY ROAD 445",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011530",
            "telephone_number": "573-718-2279",
            "fax_number": "573-785-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 COUNTY ROAD 445",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639011530",
            "telephone_number": "573-718-2279",
            "fax_number": "573-785-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGAYNOR",
        "first_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "108147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "483946984",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MichelleZuke@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "22 County Road 445",
            "city": "Poplar Bluff",
            "state": "MO",
            "country_code": "US",
            "postal_code": "639011530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Leeann Yoder
• Charissa Young, LCSW
• Robert C Young, MD
• Shevon Young
• Syeda Humna Zaidi, MBBS
• Rachel Elizabeth Zink
• Zubres Radiology Inc

• Physical Therapist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.