Active NPI
Robert Zekonis, MPT
- Physical Therapist
- Paoli, PA
National Provider Identifier
1912948670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007221L
- Practice address
- 254 West Lancaster Avenue
Paoli, PA 19301-0968 - Phone
- (610) 296-5300
- Fax
- (610) 408-8968
- NPI assigned
- Jun 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007221L | PA | Primary |
Addresses
Primary practice location
254 West Lancaster Avenue
Paoli, PA 19301-0968
Mailing address
254 West Lancaster Avenue
PO Box 666
Paoli, PA 19301-0968
Phone (610) 296-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 705367 | Other | PA | HIGHMARK BLUE SHIELD |
| 0541100000 | Other | PA | INDEPENDENCE BLUE CROSS |
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 |
|---|---|---|---|
| PT007221L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1912948670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 WEST LANCASTER AVENUE",
"address_2": "PO BOX 666",
"city": "PAOLI",
"state": "PA",
"postal_code": "193010968",
"telephone_number": "610-296-5300",
"fax_number": "610-408-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 WEST LANCASTER AVENUE",
"city": "PAOLI",
"state": "PA",
"postal_code": "193010968",
"telephone_number": "610-296-5300",
"fax_number": "610-408-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEKONIS",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT007221L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "705367",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0541100000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.