Individual provider Active NPI

Donna M. Panzl, L.M.T.

  • Mechanotherapist
  • Broadalbin, NY
National Provider Identifier
1629239090
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
016026 Issued in NY
Practice address
1076 County Highway 110
Broadalbin, NY 12025-2905
Phone
(518) 883-8964
NPI assigned
Jun 18, 2008
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 016026 NY Primary

Addresses

Primary practice location

1076 County Highway 110
Broadalbin, NY 12025-2905

Mailing address

1076 County Highway 110
Broadalbin, NY 12025-2905

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
016026NYMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1629239090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 COUNTY HIGHWAY 110",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 COUNTY HIGHWAY 110",
            "city": "BROADALBIN",
            "state": "NY",
            "postal_code": "120252905",
            "telephone_number": "518-883-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANZL",
        "first_name": "DONNA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NY",
            "license": "016026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadalbin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.