Active NPI
Anthony J Zukowski, PT
- Physical Therapist
- Simsbury, CT
National Provider Identifier
1598765224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003265
- Practice address
- 923 Hopmeadow St
Simsbury, CT 06070-1821 - Phone
- (860) 658-0308
- Fax
- (860) 651-1994
- NPI assigned
- Jul 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 003265 | CT | Primary |
Addresses
Primary practice location
923 Hopmeadow St
Simsbury, CT 06070-1821
Mailing address
923 Hopmeadow St
Simsbury, CT 06070-1821
Phone (860) 658-0308
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4478157 | Other | AENTA US HEALTHCARE | |
| 080003265CT03 | Other | ANTHEM BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3265 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1598765224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 HOPMEADOW ST",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701821",
"telephone_number": "860-658-0308",
"fax_number": "860-651-1994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 HOPMEADOW ST",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701821",
"telephone_number": "860-658-0308",
"fax_number": "860-651-1994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUKOWSKI",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-22",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AENTA US HEALTHCARE",
"identifier": "4478157",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "080003265CT03",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.