Active NPI
Christopher Zamboni, ATC
- Athletic Trainer
- Nanty Glo, PA
National Provider Identifier
1477977692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT001419A
- Practice address
- 555 Birch St
Nanty Glo, PA 15943-1060 - Phone
- (814) 749-9211
- Fax
- (814) 749-8267
- NPI assigned
- Feb 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001419A | PA | Primary |
Addresses
Primary practice location
555 Birch St
Nanty Glo, PA 15943-1060
Mailing address
555 Birch St
Nanty Glo, PA 15943-1060
Phone (814) 749-9211
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
| License | State | Type | Specialty |
|---|---|---|---|
| RT001419A | PA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blacklick Valley School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Nanty Glo, PA
- NPI 1750495354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391731200000",
"number": "1477977692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 BIRCH ST",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "159431060",
"telephone_number": "814-749-9211",
"fax_number": "814-749-8267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 BIRCH ST",
"city": "NANTY GLO",
"state": "PA",
"postal_code": "159431060",
"telephone_number": "814-749-9211",
"fax_number": "814-749-8267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBONI",
"first_name": "CHRISTOPHER",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-07",
"last_updated": "2014-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT001419A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanty Glo, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.