Ranil Ziganshin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TE009652 Issued in PA

Practice address

2990 Holme Ave
Philadelphia, PA 19136-1830

Phone

(215) 992-1861

NPI assigned

May 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1255741575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 ASHTON RD APT A8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191143445",
            "telephone_number": "248-719-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 HOLME AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191361830",
            "telephone_number": "215-992-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGANSHIN",
        "first_name": "RANIL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Zielinski, CRNP
• Veronica S Zielinski, CNS
• Justin Bradley Ziemba, MD
• Lee Ziesing, NURSE PRACTITIONER
• Michael A Ziev, D.O.
• Si Wai Zih, MD, MSC, FRCSC
• Zeke Zikria, MD
• Alexander G Zilber, M.D.
• Polina Zilbering, MD
• Alexander Zilberman, DMD

• Physical Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.