Active NPI
Matthew Zerah, PT, DPT, ATC
- Physical Therapist
- Fort Lauderdale, FL
National Provider Identifier
1700379575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33608
- Practice address
- 1925 Cordova Rd
Fort Lauderdale, FL 33316-2157 - Phone
- (954) 909-0899
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33608 | FL | Primary |
Addresses
Primary practice location
1925 Cordova Rd
Fort Lauderdale, FL 33316-2157
Mailing address
21756 State Road 54
Ste 102
Lutz, FL 33549-2905
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies St. Petersburg, LLC | Physical Therapist | Past | Accepting new patients |
| Carpe Diem Chiropractic Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Fort Lauderdale, FL
- NPI 1811310048
-
- Physical Therapist
- St Petersburg, FL
- NPI 1073085734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1700379575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54",
"address_2": "STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 CORDOVA RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162157",
"telephone_number": "954-909-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERAH",
"first_name": "MATTHEW",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT33608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.