Active NPI
Edward A Zeno, MS, PT
- Physical Therapist
- Memphis, TN
National Provider Identifier
1538218052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1384
- Practice address
- 930 Madison Ave
Suite B013
Memphis, TN 38163-2243 - Phone
- (901) 448-5888
- Fax
- (901) 448-1411
- NPI assigned
- Jan 10, 2007
- 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 | 1384 | TN | Primary |
Addresses
Primary practice location
930 Madison Ave
Suite B013
Memphis, TN 38163-2243
Mailing address
930 Madison Ave
Suite B013
Memphis, TN 38163-2243
Phone (901) 448-5888
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1384 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538218052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 MADISON AVE",
"address_2": "SUITE B013",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381632243",
"telephone_number": "901-448-5888",
"fax_number": "901-448-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 MADISON AVE",
"address_2": "SUITE B013",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381632243",
"telephone_number": "901-448-5888",
"fax_number": "901-448-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZENO",
"first_name": "EDWARD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "1384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.