Individual provider Active NPI

Manuel Ragandang Zayas, PT

  • Physical Therapist
  • Summerfield, FL
National Provider Identifier
1669473930
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21101 Issued in FL
Practice address
17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968
Phone
(352) 693-2152
Fax
(352) 693-2154
NPI assigned
Aug 9, 2005
Last updated
Oct 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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 PT21101 FL Primary

Addresses

Primary practice location

17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968

Mailing address

17820 SE 109TH Ave
Suite 105B
Summerfield, FL 34491-8968
Phone (352) 693-2152

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
PT21101FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summerfield Rehabilitation Specialists Physical Therapist Past Accepting new patients
Rehab Axis,Inc. Physical Therapist Past Accepting new patients
Ocala Rehabilitation Specialists, LLC Physical Therapist Past Accepting new patients
Quest Diagnostics Clinical Laboratories Inc Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1669473930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "SUITE 105B",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2152",
            "fax_number": "352-693-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 SE 109TH AVE",
            "address_2": "SUITE 105B",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344918968",
            "telephone_number": "352-693-2152",
            "fax_number": "352-693-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYAS",
        "first_name": "MANUEL",
        "middle_name": "RAGANDANG",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerfield, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.