Colleen Johan Zdeb, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502000054 Issued in MI

Practice address

5116 Wakefield Rd
Grand Blanc, MI 48439

Phone

(810) 516-1902

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1548504442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 WAKEFIELD RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399189",
            "telephone_number": "810-516-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 WAKEFIELD RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "48439",
            "telephone_number": "810-516-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDEB",
        "first_name": "COLLEEN",
        "middle_name": "JOHAN",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahrukh Zafar, MD
• Kyce Zaiter
• Dalia Zakri, M.D.
• Matthew Chase Zaremba, DO
• Shelby Ryan Zaremba
• Madiha Zeeshan, MD
• Rawan Zeidan, PA
• Karen Joan Zelley
• Charles T Zenzen, MD
• Sargina Zerka, RN

• Physical Therapy Assistant in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.