Active NPI
Michael T. Zingg
Doing business as dba Pacific Northwest Physical Therapy
- Physical Therapist
- Crescent City, CA
National Provider Identifier
1417146382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19213
- Legal business name
- MICHAEL T. ZINGG
- Doing business as
- dba Pacific Northwest Physical Therapy
- Practice address
- 200 Hwy 101 N
Crescent City, CA 95531-2844 - Phone
- (707) 464-9511
- NPI assigned
- Oct 17, 2007
- Last updated
- Oct 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Ann Jacobs
- Title
- Office Manager
- Phone
- (707) 464-9511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19213 | CA | Primary |
Addresses
Primary practice location
200 Hwy 101 N
Crescent City, CA 95531-2844
Mailing address
200 Hwy 101 North
Crescent City, CA 95531-2844
Phone (707) 464-9511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0192130 | Medicaid | CA |
Other names 1
- dba Pacific Northwest Physical Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Crescent City, CA
- NPI 1952535387
-
- Physical Therapist
- Crescent City, CA
- NPI 1316921596
-
- Physical Therapist
- Brookings, OR
- NPI 1710991625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192579200000",
"number": "1417146382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HWY 101 NORTH",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312844",
"telephone_number": "707-464-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HWY 101 N",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312844",
"telephone_number": "707-464-9511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL T. ZINGG",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "707-464-9511"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "19213",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0192130",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dba Pacific Northwest Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.