Individual provider Active NPI

Lorrell Heather Zegarelli, ATC

  • Athletic Trainer
  • Great Neck, NY
National Provider Identifier
1336306455
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
000937 Issued in NY
Practice address
90 East Shore Road Inside Equinox
Professional Orthopedic and Sports Physical Therapy
Great Neck, NY 11023
Phone
(516) 684-1122
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 000937 NY Primary

Addresses

Primary practice location

90 East Shore Road Inside Equinox
Professional Orthopedic and Sports Physical Therapy
Great Neck, NY 11023

Mailing address

16 Ogden Rd
West Islip, NY 11795-3907
Phone (631) 539-7216

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
000937NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1336306455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OGDEN RD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953907",
            "telephone_number": "631-539-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 EAST SHORE ROAD INSIDE EQUINOX",
            "address_2": "PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11023",
            "telephone_number": "516-684-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGARELLI",
        "first_name": "LORRELL",
        "middle_name": "HEATHER",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.