Individual provider Active NPI

Betty Jo Zonis, P.T.

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1902826357
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18974 Issued in MD
Practice address
17 Western Maryland Pkwy
Hagerstown, MD 21740-5146
Phone
(301) 797-9240
NPI assigned
Jul 20, 2006
Last updated
Feb 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18974 MD Primary

Addresses

Primary practice location

17 Western Maryland Pkwy
Hagerstown, MD 21740-5146

Mailing address

9736 Lock Tender LN
Williamsport, MD 21795-4065
Phone (301) 223-6868

Other identifiers 3

IdentifierTypeStateIssuer
W2660009OtherMDMD BLUE SHIELD REGIONAL
P00276374OtherMDRR MEDICARE
61181602OtherMDMD BLUE SHIELD TRADITONAL

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

LicenseStateTypeSpecialty
18974MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1902826357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 LOCK TENDER LN",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217954065",
            "telephone_number": "301-223-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405146",
            "telephone_number": "301-797-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONIS",
        "first_name": "BETTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "18974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD REGIONAL",
            "identifier": "W2660009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00276374",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD TRADITONAL",
            "identifier": "61181602",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.