Benjamin J Zuk

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2019010411 Issued in MO

Practice address

502 Rosewood Dr
Kirksville, MO 63501-2437

Phone

(660) 785-1834

NPI assigned

Oct 21, 2022

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Male

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

Locations

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.

• Kirksville Physical Therapy Services LLC

  • Physical Therapist
  • Kirksville, MO
  • NPI 1720229156
  NPD
• Northeast Missouri Health Council Inc

  dba Memphis Community Health Center

  • Internal Medicine Physician
  • Memphis, MO
  • NPI 1881307155
  NPD (past)

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

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1780301796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012437",
            "telephone_number": "660-785-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ROSEWOOD DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012437",
            "telephone_number": "660-785-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUK",
        "first_name": "BENJAMIN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-21",
        "last_updated": "2023-01-10",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2019010411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael Zeman, D.O.
• Tina Marie Zeman, MA, CCC-SLP
• Kristi Zentz, LPN
• Charles Zhang
• Angelynn Rose Zimmerman, ORT/L

• Physical Therapist in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.