Active NPI
Mark David Zucker, PT
- Physical Therapist
- Liberty Township, OH
National Provider Identifier
1265647275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009542
- Practice address
- 6530 Tulip CT
Liberty Township, OH 45044-9726 - Phone
- (513) 348-9698
- NPI assigned
- May 12, 2007
- Sex
- Male
- 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 | PT009542 | OH | Primary |
Addresses
Primary practice location
6530 Tulip CT
Liberty Township, OH 45044-9726
Mailing address
6530 Tulip CT
Liberty Township, OH 45044-9726
Phone (513) 348-9698
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 |
|---|---|---|---|
| PT009542 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Therapy & Health Centers, Inc. | Physical Therapist | Past | Accepting new patients |
| Premier Therapy & Health Centers, Inc. | Past | Accepting new patients | |
| Premier Therapy & Health Centers, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Rehabilitation Clinic/Center
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- NPI 1073690509
-
- Rehabilitation Clinic/Center
- Wheelersburg, OH
- NPI 1144307687
Physical Therapist
-
- Rehabilitation Clinic/Center
- Ashland, KY
- NPI 1073779377
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1265647275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 TULIP CT",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450449726",
"telephone_number": "513-348-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 TULIP CT",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450449726",
"telephone_number": "513-348-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKER",
"first_name": "MARK",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT009542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.