John Glen Zappala, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA009748 Issued in NJ

Practice address

623 River Rd
Suite 5
Fair Haven, NJ 07704-3267

Phone

(732) 842-5522

Fax

(732) 842-2711

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Live Well Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Fair Haven, NJ
  • NPI 1205997137

  Physical Therapist

  Medicare reassignment NPD
• Adaptive Home Therapy, Inc.

  • Occupational Therapist
  • Toms River, NJ
  • NPI 1831192673

  Physical Therapist

  NPD (past)
• Anil K Gupta MD PA

  • Cardiovascular Disease Physician
  • Toms River, NJ
  • NPI 1669459319
  NPD (past)
• Sports Care and Physical Rehabilitation Inc.

  • Physical Therapist
  • Little Silver, NJ
  • NPI 1467577155
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841363538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 5",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-842-5522",
            "fax_number": "732-842-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RIVER RD",
            "address_2": "SUITE 5",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043267",
            "telephone_number": "732-842-5522",
            "fax_number": "732-842-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPPALA",
        "first_name": "JOHN",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lee Veizer, LPC
• Eileen Bridget Vilardi, RNAPNC
• Kathleen A Vilardi, PHD
• Jamie White, FNP-BC
• Laura Wolf, MS
• Natalie M Zenner

• Physical Therapist in Fair Haven, NJ
• Providers in Fair Haven, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.