Active NPI
Michelle Leigh Zgonc, PT, DPT
- Pediatric Physical Therapist
- Arlington, VA
National Provider Identifier
1295068013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305211179
- Practice address
- 2301 Columbia Pike Apt 125
Arlington, VA 22204-4453 - Phone
- (202) 544-5439
- Fax
- (202) 379-1797
- NPI assigned
- Sep 11, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 6469 | SC | |
| Pediatric Physical Therapist | 2251P0200X | PT20001395 | DC | |
| Pediatric Physical Therapist | 2251P0200X | 031583-1 | NY | |
| Pediatric Physical Therapist | 2251P0200X | PT.PT.60408154 | WA | |
| Pediatric Physical Therapist | 2251P0200X | 2305211179 | VA | Primary |
Addresses
Primary practice location
2301 Columbia Pike Apt 125
Arlington, VA 22204-4453
Mailing address
3815 Fort Worth Ave
Alexandria, VA 22304-1708
Phone (914) 318-2289
Other practice location 1
1301 Pennsylvania Ave SE Bsmt
Washington, DC 20003-3027
Phone (202) 544-5439
Other names 1
- Michelle Zgonc Parise
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 |
|---|---|---|---|
| 6469 | SC | MD | Counselor |
| PT20001395 | DC | MD | Pediatric Physical Therapist |
| 031583-1 | NY | MD | Pediatric Physical Therapist |
| 2305211179 | VA | MD | Pediatric Physical Therapist |
| PT.PT.60408154 | WA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skills on the Hill, LLC | Pediatrics | Current | Accepting new patients |
Locations
1301 Pennsylvania Ave SE
Bsmt
Washington, DC 20003
Phone (202) 335-7968
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659916800000",
"number": "1295068013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 FORT WORTH AVE",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041708",
"telephone_number": "914-318-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 COLUMBIA PIKE APT 125",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044453",
"telephone_number": "202-544-5439",
"fax_number": "202-379-1797"
}
],
"practiceLocations": [
{
"address_1": "1301 Pennsylvania Ave SE Bsmt",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200033027",
"country_code": "US",
"telephone_number": "202-544-5439",
"fax_number": "202-379-1797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZGONC",
"first_name": "MICHELLE",
"middle_name": "LEIGH",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-11",
"last_updated": "2022-08-08",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "6469",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "DC",
"license": "PT20001395",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "031583-1",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WA",
"license": "PT.PT.60408154",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305211179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "PARISE",
"middle_name": "ZGONC",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.