Individual provider Active NPI

Sandra Constance Zaccari, PT

  • Pediatric Physical Therapist
  • Brentwood, TN
National Provider Identifier
1477610731
Registry record updated Apr 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Practice address
1647 Mallory LN
Suite 103
Brentwood, TN 37027-2909
Phone
(615) 661-5437
Fax
(615) 309-8342
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X Primary
Physical Therapist 225100000X 6837 TN

Addresses

Primary practice location

1647 Mallory LN
Suite 103
Brentwood, TN 37027-2909

Mailing address

6004 Deerbrook Dr
Nashville, TN 37221-4094
Phone (615) 646-0170

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6837TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucker'S House Current Accepting new patients
Tucker'S House Current Accepting new patients

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1477610731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 DEERBROOK DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372214094",
            "telephone_number": "615-646-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 MALLORY LN",
            "address_2": "SUITE 103",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272909",
            "telephone_number": "615-661-5437",
            "fax_number": "615-309-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARI",
        "first_name": "SANDRA",
        "middle_name": "CONSTANCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "6837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.