Zandra E. Cephas, ASPT,CPT

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

681104140001 Issued in MD

Practice address

202 Holly St
Fruitland, MD 21826-2005

Phone

(410) 726-6573

Fax

(410) 831-3548

NPI assigned

Aug 21, 2017

Last updated

Jul 21, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wings of Life Mobile LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fruitland, MD
  • NPI 1356896708
  NPD Authorized official

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780100735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 HOLLY ST",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218262005",
            "telephone_number": "410-726-6573",
            "fax_number": "410-831-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HOLLY ST",
            "city": "FRUITLAND",
            "state": "MD",
            "postal_code": "218262005",
            "telephone_number": "410-726-6573",
            "fax_number": "410-831-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPHAS",
        "first_name": "ZANDRA",
        "middle_name": "E.",
        "credential": "ASPT,CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "MD",
            "license": "681104140001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bailey
• Katheryn Ann Baker
• Carey Chiropractic P.a.
• Maria Luisa Carey, D.C.
• Christie Cox, LCSW-C
• Crossroads Play Therapy & Counseling, LLC
• Lynn Marie Derickson
• Megan Dingus, CRNP
• Amanda Eberly, LCSW-C

• Technician/Technologist in Fruitland, MD
• Providers in Fruitland, MD by specialty
• Technician/Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.