Individual provider Active NPI

Marion Paul Zaun, PHYSICAL THERAPIST A

  • Physical Therapy Assistant
  • Nottingham, MD
National Provider Identifier
1275724783
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A2974 Issued in MD
Practice address
8003 Corporate Dr
Suite G
Nottingham, MD 21236
Phone
(410) 931-0990
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A2974 MD Primary

Addresses

Primary practice location

8003 Corporate Dr
Suite G
Nottingham, MD 21236

Mailing address

703 Mustang CT
Bel Air, MD 21014-5312
Phone (410) 836-9494

Other identifiers 1

IdentifierTypeStateIssuer
A2974OtherMDPHYSICAL THERAPIST ASSIST

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

LicenseStateTypeSpecialty
A2974MDMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1275724783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MUSTANG CT",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145312",
            "telephone_number": "410-836-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 CORPORATE DR",
            "address_2": "SUITE G",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "21236",
            "telephone_number": "410-931-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUN",
        "first_name": "MARION",
        "middle_name": "PAUL",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A2974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST ASSIST",
            "identifier": "A2974",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

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

Verify at the official NPI Registry.