Individual provider Active NPI

Margaret Mary Zidek, PT

  • Physical Therapist
  • Los Alamitos, CA
National Provider Identifier
1548281256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT15066 Issued in CA
Practice address
10682 Los Alamitos Blvd
Los Alamitos, CA 90720-2118
Phone
(562) 795-5295
Fax
(562) 795-5297
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT15066 CA Primary

Addresses

Primary practice location

10682 Los Alamitos Blvd
Los Alamitos, CA 90720-2118

Mailing address

10682 Los Alamitos Blvd
Los Alamitos, CA 90720-2118
Phone (562) 795-5295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040319001044 CA Practitioner - Physical Therapist in Private Practice 1658261771 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JRD Physical Therapy IncGroup PAC ID 9931480787, 5 clinicians

Practice addresses (Care Compare)

4220 Katella Ave
Los Alamitos, CA 90720-3511
Phone (562) 342-9994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT15066CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
JRD Physical Therapy Inc Physical Therapist CurrentSince May 23, 2018 Accepting new patients
Hands on Rehab, Inc. Physical Therapist CurrentSince Nov 18, 2016 Accepting new patients
In-Home Physical Therapy PC CurrentSince Feb 21, 2018 Accepting new patients
Alamitos Physical Therapy Physical Therapist PastSince Jun 2, 2018 Accepting new patients

Locations

533 2nd St
Ste 341
Encinitas, CA 92024
Phone (760) 271-3850

7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751

4220 Katella Ave
Los Alamitos, CA 90720
Phone (562) 342-9994

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548281256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10682 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202118",
            "telephone_number": "562-795-5295",
            "fax_number": "562-795-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10682 LOS ALAMITOS BLVD",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202118",
            "telephone_number": "562-795-5295",
            "fax_number": "562-795-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIDEK",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

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.
  • 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.

Verify at the official NPI Registry.