Oliver Lawrence Zapanta San Pedro, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT40QA01102800 Issued in NJ

Practice address

167 Washington Ave
Little Ferry, NJ 07643-2009

Phone

(201) 641-1600

Fax

(201) 807-0231

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Oliver Lawrence Zapanta San Pedro Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Little Ferry Sports, Spine and Rehabilitation CenterGroup PAC ID 0446324073, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Little Ferry Sports, Spine & Rehabilitation Center

  • Chiropractor
  • Little Ferry, NJ
  • NPI 1568623536

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Chiropractic Works, LLC

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306908074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ZUBER PL",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 WASHINGTON AVE",
            "city": "LITTLE FERRY",
            "state": "NJ",
            "postal_code": "076432009",
            "telephone_number": "201-641-1600",
            "fax_number": "201-807-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN PEDRO",
        "first_name": "OLIVER LAWRENCE",
        "middle_name": "ZAPANTA",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "PT40QA01102800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVER LAWRENCE",
            "last_name": "SAN PEDRO",
            "middle_name": "ZAPANTA",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Charles Michael Terranova, D.C.
• The Arc of Bergen and Passaic Counties, Inc

• Physical Therapist in Little Ferry, NJ
• Providers in Little Ferry, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.