Active NPI
Jami Sue Zych, PT
- Neurology Physical Therapist
- Fort Myers, FL
National Provider Identifier
1821313016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- PT 25190
- Practice address
- 3820 Colonial Blvd
Ste. #103
Fort Myers, FL 33966-1094 - Phone
- (239) 433-1777
- Fax
- (239) 433-1776
- NPI assigned
- Mar 31, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | PT 25190 | FL | Primary |
| Pediatric Physical Therapist | 2251P0200X | PT 25190 | FL |
Addresses
Primary practice location
3820 Colonial Blvd
Ste. #103
Fort Myers, FL 33966-1094
Mailing address
3820 Colonial Blvd
Ste. #103
Fort Myers, FL 33966-1094
Phone (239) 433-1777
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25190 | FL | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dizziness & Balance Center of Southwest Florida PA | Neurology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fort Myers, FL
- NPI 1851585707
Neurology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1821313016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 COLONIAL BLVD",
"address_2": "STE. #103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661094",
"telephone_number": "239-433-1777",
"fax_number": "239-433-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 COLONIAL BLVD",
"address_2": "STE. #103",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339661094",
"telephone_number": "239-433-1777",
"fax_number": "239-433-1776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYCH",
"first_name": "JAMI",
"middle_name": "SUE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-31",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "FL",
"license": "PT 25190",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT 25190",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.