Individual provider Active NPI

Zinnia Cielo, PT

  • Physical Therapist
  • Johnson City, TN
National Provider Identifier
1326702192
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0000004199 Issued in TN
Practice address
505 N Roan St
Johnson City, TN 37601-4740
Phone
(423) 975-2000
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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 0000004199 TN Primary

Addresses

Primary practice location

505 N Roan St
Johnson City, TN 37601-4740

Mailing address

1 Hunters Ridge Rd
Johnson City, TN 37604-8329
Phone (423) 975-2000

Other identifiers 1

IdentifierTypeStateIssuer
4199OtherTNNONE

Other names 1

  • Zinnia Zosa Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Agape Direct
CONNECT URL agape Direct

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

LicenseStateTypeSpecialty
0000004199TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1326702192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTERS RIDGE RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376048329",
            "telephone_number": "423-975-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N ROAN ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376014740",
            "telephone_number": "423-975-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIELO",
        "first_name": "ZINNIA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000004199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "4199",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Agape",
            "affiliation": "N",
            "endpointDescription": "SNF",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "505 N Roan St",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376014740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "agape",
            "affiliation": "N",
            "endpointDescription": "skilled nursing facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "skilled nursing facility",
            "address_1": "505 N Roan St",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376014740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZINNIA",
            "last_name": "ZOSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.