Zeenat Bawangaonwala, BPT
Individual provider Active NPI Physical Therapist · Summerfield, NC
NPI 1295935260 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1295935260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9379 (NC)
- Practice address
- 7621 Braelands Dr
Summerfield, NC 27358-9363 - Phone
- (443) 745-6822
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 LLC
Move Forward Physical Therapy
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201229002531 | NC | Practitioner - Physical Therapist in Private Practice | 2668562638 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9379 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Move Forward Physical Therapy | Current |
Accepting new patients | |
| Move Forward Physical Therapy & Wellness LLC | Physical Therapist | Current |
Accepting new patients |
Locations
2008 New Garden Rd
Ste D
Greensboro, NC 27410
Phone (336) 580-8499
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9379 | NC | Yes |
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
- Miss Zeenat Arif
Other providers in Summerfield, NC
- Agape Speech and Language Services
- Raven Leigh Almazan
- Ryan Neil Aubuchon
- Gregory Scott Barham
- Sarah H Barts
- Sheri Booth Beal
- Cynthia Sheppard Bell
- Monica Sparks Benfield
- Steven Patrick Best
- June Graham Bethea
All providers in Summerfield, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.