Individual provider Active NPI

Rochel E Zoldan, PT

  • Pediatric Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1609101229
Registry record updated May 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
029530 Issued in NY
Practice address
160 Lawrence Ave
Brooklyn, NY 11230-1103
Phone
(718) 436-7979
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 029530 NY Primary

Addresses

Primary practice location

160 Lawrence Ave
Brooklyn, NY 11230-1103

Mailing address

1251 Waterview St
Far Rockaway, NY 11691-1742
Phone (718) 327-0542

Other names 1

  • Rochel Davidson Former 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
029530NYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367712000000",
    "number": "1609101229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 WATERVIEW ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911742",
            "telephone_number": "718-327-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LAWRENCE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112301103",
            "telephone_number": "718-436-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLDAN",
        "first_name": "ROCHEL",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2013-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "029530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHEL",
            "last_name": "DAVIDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.