Individual provider Active NPI

Matthew George Zanis, PT, DPT, ATC, CSCS

  • Physical Therapy Clinic/Center
  • Peoria, AZ
National Provider Identifier
1730592809
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
P14863 Issued in NC
Practice address
9745 W Happy Valley Rd
Peoria, AZ 85383-1241
Phone
(623) 572-0422
NPI assigned
Jun 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X P14863 NC Primary

Addresses

Primary practice location

9745 W Happy Valley Rd
Peoria, AZ 85383-1241

Mailing address

7007 E Gold Dust Ave
Apartment 2045
Scottsdale, AZ 85253-1400
Phone (570) 617-0626

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
P14863NCMDPhysical Therapy Clinic/Center
10999AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1730592809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 E GOLD DUST AVE",
            "address_2": "APARTMENT 2045",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852531400",
            "telephone_number": "570-617-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 W HAPPY VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831241",
            "telephone_number": "623-572-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANIS",
        "first_name": "MATTHEW",
        "middle_name": "GEORGE",
        "credential": "PT, DPT, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NC",
            "license": "P14863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.