Active NPI
Maximillian Zugaj, MOT, OTR
- Occupational Therapist
- College Station, TX
National Provider Identifier
1306200795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 114633
- Practice address
- 700 Scott and White Dr
College Station, TX 77845-6441 - Phone
- (979) 207-0100
- NPI assigned
- Apr 11, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 114633 | TX | Primary |
Addresses
Primary practice location
700 Scott and White Dr
College Station, TX 77845-6441
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other names 1
- Max Zugaj
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114633 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461024000000",
"number": "1306200795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SCOTT AND WHITE DR",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778456441",
"telephone_number": "979-207-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUGAJ",
"first_name": "MAXIMILLIAN",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-11",
"last_updated": "2016-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "114633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAX",
"last_name": "ZUGAJ",
"credential": "MOT, OTR",
"code": "5",
"type": "Other Name"
}
]
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.