Individual provider Active NPI

Patricia Zdep, PT

  • Physical Therapist
  • Elba, NY
National Provider Identifier
1467769828
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011852-1 Issued in NY
Practice address
6600 Log City Rd
Elba, NY 14058-9512
Phone
(585) 757-2799
NPI assigned
Sep 8, 2010
Sex
Female
Sole proprietor
Yes

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
011852-1NYMDCognitive & Behavioral Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011852-1 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

6600 Log City Rd
Elba, NY 14058-9512

Mailing address

6600 Log City Rd
Elba, NY 14058-9512
Phone (585) 757-2799

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 8, 2010.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1467769828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LOG CITY RD",
            "city": "ELBA",
            "state": "NY",
            "postal_code": "140589512",
            "telephone_number": "585-757-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LOG CITY RD",
            "city": "ELBA",
            "state": "NY",
            "postal_code": "140589512",
            "telephone_number": "585-757-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDEP",
        "first_name": "PATRICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011852-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elba, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.