Individual provider Active NPI

Romeo Zantua Zara

  • Physical Therapist
  • Binghamton, NY
National Provider Identifier
1669729448
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
225 Water St
Binghamton, NY 13901-2704
Phone
(315) 746-0767
NPI assigned
Aug 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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 Primary

Addresses

Primary practice location

225 Water St
Binghamton, NY 13901-2704

Mailing address

36 Penna Rd
Johnson City, NY 13790-5014
Phone (315) 746-0767

Other practice location 1

401 Main St
Johnson City, NY 13790-1915
Phone (607) 798-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000539 NY Practitioner - Physical Therapist in Private Practice 6709034127 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Physical Therapy Rehab of Ny PCGroup PAC ID 1759611759, 4 clinicians

Practice addresses (Care Compare)

Mineola, NY 11501
Phone (213) 884-5987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RZ Physical Therapy PLLC Physical Therapist CurrentSince Oct 26, 2025 Accepting new patients
Dynamic Physical Therapy Rehab of Ny P.C. Physical Therapist CurrentSince May 11, 2024 Accepting new patients
Dynamic OT at Home PC CurrentSince Jan 12, 2026 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1669729448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PENNA RD",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137905014",
            "telephone_number": "315-746-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WATER ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139012704",
            "telephone_number": "315-746-0767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Main St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137901915",
            "country_code": "US",
            "telephone_number": "607-798-8800",
            "fax_number": "607-798-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARA",
        "first_name": "ROMEO",
        "middle_name": "ZANTUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.