Individual provider Active NPI

Tony Zinnah III, PT,DPT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1578008306
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1274091 Issued in TX
Practice address
3200 River Lodge TRL S Apt 1028
Fort Worth, TX 76116-0858
Phone
(903) 720-8890
NPI assigned
Jan 3, 2017
Last updated
Jan 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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 1274091 TX Primary

Addresses

Primary practice location

3200 River Lodge TRL S Apt 1028
Fort Worth, TX 76116-0858

Mailing address

3200 River Lodge TRL S Apt 1028
Fort Worth, TX 76116-0858
Phone (903) 720-8890

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

State licenses

LicenseStateTypeSpecialty
1274091TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1578008306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 RIVER LODGE TRL S APT 1028",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160858",
            "telephone_number": "903-720-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RIVER LODGE TRL S APT 1028",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160858",
            "telephone_number": "903-720-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNAH",
        "first_name": "TONY",
        "name_suffix": "III",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1274091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.