Organization Active NPI

Michael T. Zingg

Doing business as dba Pacific Northwest Physical Therapy

  • Physical Therapist
  • Crescent City, CA
National Provider Identifier
1417146382
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19213 Issued in CA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PT0192130MedicaidCA

Other names 1

  • dba Pacific Northwest Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.