Michelle L Zdan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160005025 Issued in IL

Practice address

1259 Rickert Dr
Suite 201
Naperville, IL 60540-8902

Phone

(630) 968-1881

NPI assigned

May 16, 2013

Last updated

May 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle L Davis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1770929788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 RICKERT DR",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605408902",
            "telephone_number": "630-968-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDAN",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DAVIS",
            "middle_name": "L",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Zasada, PA-C
• Gabrielle Zaura, PMHNP-BC
• Jaime Zavala, RD
• Zahia Zayed, MD, FAAP
• Marhabo Zaylobiddinova
• Don F Zeidlhack, PSY.D.
• Sonia L Zeisberger, DC
• Jeffrey A Zeitler, M.D.
• Deborah Karen Zeitlin, M.S.
• Dorothy Zeman, PSY.D.

• Physical Therapy Assistant in Naperville, IL
• Providers in Naperville, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.