Patricia L Dzenis

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8555A Issued in AZ

Practice address

6378 E Kelmore Rd
Prescott Valley, AZ 86314-9222

Phone

(928) 772-0552

NPI assigned

Sep 30, 2009

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

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1811221369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6378 E KELMORE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149222",
            "telephone_number": "928-772-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6378 E KELMORE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149222",
            "telephone_number": "928-772-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZENIS",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "8555A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Duda, NP
• John P Dugan, D.C.
• Shawn Gregory Dugan, D.C.
• Jonathan Dunagan, LMT
• Elizabeth B Dunn, M.S.
• E Z Sleep Lab
• Chelsey Earnhart, DNP, CPNP-PC
• Edenmd Wellness LLC
• Eleanor Eunice Tubat Edmilao
• Edward M. Reifman, DDS Inc

• Physical Therapy Assistant in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.