Individual provider Active NPI

Ewa Zaborowski, DPT

  • Physical Therapist
  • Mill Valley, CA
National Provider Identifier
1548373871
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19645 Issued in CA
Practice address
591 Redwood Hgwy., Suite 5210
Mill Valley, CA 94941
Phone
(415) 381-9030
Fax
(415) 381-9040
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 PT19645 CA Primary

Addresses

Primary practice location

591 Redwood Hgwy., Suite 5210
Mill Valley, CA 94941

Mailing address

PO Box 10755
San Rafael, CA 94912-0755
Phone (415) 491-1210

Other identifiers 1

IdentifierTypeStateIssuer
PT19645OtherCAREGISTERED PHYSICAL THERA

Other names 1

  • Ewa Zaborowski Professional name

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
19645CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1548373871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10755",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949120755",
            "telephone_number": "415-491-1210",
            "fax_number": "415-491-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 REDWOOD HGWY., SUITE 5210",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-381-9030",
            "fax_number": "415-381-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOROWSKI",
        "first_name": "EWA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHYSICAL THERA",
            "identifier": "PT19645",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EWA",
            "last_name": "ZABOROWSKI",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.