Stacy Lynn Zousmer, MPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

5501010115 Issued in MI

Practice address

4266 Strathdale LN
West Bloomfield, MI 48323-3143

Phone

(248) 770-3472

NPI assigned

Dec 19, 2012

Sex

Female

Sole proprietor

No

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": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1609112671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4266 STRATHDALE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4266 STRATHDALE LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483233143",
            "telephone_number": "248-770-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUSMER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MI",
            "license": "5501010115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Zoma
• Jacqueline Jameel Zoma, D.D.S.
• Timothy Joseph Zoma, DPT
• Staci Zonca, MA LPC NCC
• Julie Zorn
• Zulfiqar Ahmed Zulfi, DPT
• Kimberly Elizabeth Zuteck

• Pediatric Physical Therapist in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Pediatric Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.