Active NPI
Raphael Zamora, DPT
- Orthopedic Physical Therapist
- Whitefish, MT
National Provider Identifier
1871210757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 24621
- Practice address
- 2006 Hospital Way
Whitefish, MT 59937-7858 - Phone
- (406) 862-9378
- Fax
- (406) 862-9882
- NPI assigned
- Oct 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 24621 | MT | Primary |
| Physical Therapist | 225100000X | 18609 | CO |
Addresses
Primary practice location
2006 Hospital Way
Whitefish, MT 59937-7858
Mailing address
2006 Hospital Way
Whitefish, MT 59937-7858
Phone (406) 862-9378
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 |
|---|---|---|---|
| 18609 | CO | MD | Pharmacist |
| 24621 | MT | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1871210757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2006 HOSPITAL WAY",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599377858",
"telephone_number": "406-862-9378",
"fax_number": "406-862-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2006 HOSPITAL WAY",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599377858",
"telephone_number": "406-862-9378",
"fax_number": "406-862-9882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMORA",
"first_name": "RAPHAEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-21",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MT",
"license": "24621",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.