Active NPI
Michele Sherry Zezima, P.T.
- Physical Therapist
- Astoria, NY
National Provider Identifier
1346555752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 056321
- Practice address
- 4411 28TH Ave
Apt 3R
Astoria, NY 11103-2190 - Phone
- (646) 221-0200
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 056321 | NY | Primary |
Addresses
Primary practice location
4411 28TH Ave
Apt 3R
Astoria, NY 11103-2190
Mailing address
4411 28TH Ave
Apt 3R
Astoria, NY 11103-2190
Phone (646) 221-0200
Other names 1
- Michele Zezima
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056321 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1346555752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 28TH AVE",
"address_2": "APT 3R",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032190",
"telephone_number": "646-221-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 28TH AVE",
"address_2": "APT 3R",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111032190",
"telephone_number": "646-221-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEZIMA",
"first_name": "MICHELE",
"middle_name": "SHERRY",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "056321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "ZEZIMA",
"credential": "P.T., M.S.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Astoria, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.