Individual provider Active NPI

Virginia Marie Zekaria, P.T., D.P.T.

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1447692108
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25219 Issued in CA
Practice address
17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Phone
(949) 861-8600
Fax
(949) 861-8601
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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 PT 25219 CA Primary

Addresses

Primary practice location

17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282

Mailing address

17332 Von Karman Ave Ste 120
Irvine, CA 92614-6282
Phone (949) 861-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014002061 CA Practitioner - Physical Therapist in Private Practice 1052642584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newsport Physical TherapyGroup PAC ID 8224131396, 5 clinicians

Practice addresses (Care Compare)

2290 SE Bristol St
Newport Beach, CA 92660-0746
Phone (949) 675-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25219CAMDClinical Social Worker
PT 25219CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Newsport Physical Therapy Physical Therapist CurrentSince Jul 22, 2019 Accepting new patients
Impt, Inc. Physical Therapist PastSince Jul 7, 2004 Accepting new patients

Locations

2711 E Coast Hwy
Ste 206
Corona del Mar, CA 92625
Phone (949) 675-2922

2290 SE Bristol St
Newport Beach, CA 92660
Phone (949) 261-6101

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1447692108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146282",
            "telephone_number": "949-861-8600",
            "fax_number": "949-861-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146282",
            "telephone_number": "949-861-8600",
            "fax_number": "949-861-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKARIA",
        "first_name": "VIRGINIA",
        "middle_name": "MARIE",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.