Active NPI
Ian John Zamora, DPT
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1508598624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 28959
- Practice address
- 10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184 - Phone
- (301) 530-1010
- Fax
- (301) 897-8597
- NPI assigned
- Jun 28, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 28959 | MD | Primary |
Addresses
Primary practice location
10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Mailing address
10215 Fernwood Rd Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
278 W 81St St
New York, NY 10024-5728
Phone (212) 579-3539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28959 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Physical and Occupational Therapy Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Flex Physical and Occupational Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
3021 Route 9
Cold Spring, NY 10516
Phone (212) 579-3539
278 W 81st St
New York, NY 10024
Phone (212) 579-3539
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.
-
- Physical Therapist
- New York, NY
- NPI 1720409253
-
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1508598624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD STE 506",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171184",
"telephone_number": "301-530-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD STE 506",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171184",
"telephone_number": "301-530-1010",
"fax_number": "301-897-8597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "IAN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-28",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "28959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.