Individual provider Active NPI

Sofia Zanzarella, P.T.

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1912930058
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12169 Issued in MA
Practice address
1111 Elm Street
Suite 9
West Springfield, MA 01089
Phone
(413) 736-2250
Fax
(413) 736-2254
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 12169 MA Primary

Addresses

Primary practice location

1111 Elm Street
Suite 9
West Springfield, MA 01089

Mailing address

1111 Elm Street
Suite 9
West Springfield, MA 01089
Phone (413) 736-2250

Other identifiers 1

IdentifierTypeStateIssuer
0315991MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000548 MA Practitioner - Physical Therapist in Private Practice 7315906351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab Resolutions IncGroup PAC ID 2062416464, 3 clinicians

Practice addresses (Care Compare)

1111 Elm St
West Springfield, MA 01089-1540
Phone (413) 736-2250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12169MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Resolutions, Inc. Physical Therapist CurrentSince Mar 11, 2005 Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

Locations

1111 Elm St
Ste 9
West Springfield, MA 01089
Phone (413) 391-7654

1111 Elm St
Ste 16
West Springfield, MA 01089
Phone (413) 736-2250

93 Springfield Rd
Ste B
Westfield, MA 01085
Phone (413) 642-5587

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1912930058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELM STREET",
            "address_2": "SUITE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ELM STREET",
            "address_2": "SUITE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "01089",
            "telephone_number": "413-736-2250",
            "fax_number": "413-736-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANZARELLA",
        "first_name": "SOFIA",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "12169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315991",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.