Joseph R Zygar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002305 Issued in WA

Practice address

2300 Kati CT
Ste B
Shelton, WA 98584

Phone

(360) 426-5903

Fax

(360) 426-5920

NPI assigned

Apr 17, 2006

Last updated

Jul 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Shelton Physical Therapy and Sports Medicine Clinic P.S.

  • Physical Therapy Clinic/Center
  • Shelton, WA
  • NPI 1215142930
  Authorized official Same address or phone

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1750345567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 64TH AVE SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98513",
            "fax_number": "360-426-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 KATI CT",
            "address_2": "STE B",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "98584",
            "telephone_number": "360-426-5903",
            "fax_number": "360-426-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYGAR",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7291404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Zamora
• Cherell Lee Zandell, LAC
• Delilah Marie Zaniewski, LMP
• Hui N/a Zhao, MD, PHD
• Margaret Mitchell Zorn, MA

• Physical Therapist in Shelton, WA
• Providers in Shelton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.