Individual provider Active NPI

Zeenat Bawangaonwala, BPT

  • Physical Therapist
  • Summerfield, NC
National Provider Identifier
1295935260
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9379 Issued in NC
Practice address
7621 Braelands Dr
Summerfield, NC 27358-9363
Phone
(443) 745-6822
NPI assigned
Jul 18, 2007
Last updated
Nov 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9379 NC Primary

Addresses

Primary practice location

7621 Braelands Dr
Summerfield, NC 27358-9363

Mailing address

7621 Braelands Dr
Summerfield, NC 27358-9363
Phone (443) 745-6822

Other names 1

  • Miss Zeenat Arif Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201229002531 NC Practitioner - Physical Therapist in Private Practice 2668562638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Move Forward Physical Therapy and Wellness LLCGroup PAC ID 9133631856, 2 clinicians
Move Forward Physical TherapyGroup PAC ID 5991118473, 2 clinicians

Practice addresses (Care Compare)

2008 New Garden Rd
Suite D
Greensboro, NC 27410-2526
Phone (336) 847-8697

7621 Braelands Dr
Summerfield, NC 27358-9363
Phone (443) 745-6822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9379NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Forward Physical Therapy & Wellness LLC Physical Therapist CurrentSince Feb 24, 2025 Accepting new patients
Move Forward Physical Therapy CurrentSince Oct 1, 2020 Accepting new patients

Locations

2008 New Garden Rd
Ste D
Greensboro, NC 27410
Phone (336) 580-8499

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1295935260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7621 BRAELANDS DR",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589363",
            "telephone_number": "443-745-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7621 BRAELANDS DR",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589363",
            "telephone_number": "443-745-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWANGAONWALA",
        "first_name": "ZEENAT",
        "name_prefix": "Mrs.",
        "credential": "BPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZEENAT",
            "last_name": "ARIF",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.