Individual provider Active NPI

Tziona Rae Zeffren, OTR/L

  • Occupational Therapist
  • Glen Carbon, IL
National Provider Identifier
1780966770
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005196 Issued in MO
Practice address
4 Country Club Executive Park
Glen Carbon, IL 62034-1702
Phone
(314) 591-0228
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC005196 MO Primary
Pediatric Occupational Therapist 225XP0200X OC005196 MO

Addresses

Primary practice location

4 Country Club Executive Park
Glen Carbon, IL 62034-1702

Mailing address

8150 Amherst Ave
Saint Louis, MO 63130-3605
Phone (314) 721-4635

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC005196MOMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1780966770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 AMHERST AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303605",
            "telephone_number": "314-721-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COUNTRY CLUB EXECUTIVE PARK",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341702",
            "telephone_number": "314-591-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEFFREN",
        "first_name": "TZIONA",
        "middle_name": "RAE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "OC005196",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "OC005196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.