Zinn Ventures, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005860 Issued in WA

Legal business name

ZINN VENTURES, INC.

Doing business as

Wade Zinn Physical Therapy

Practice address

19611 7TH Ave NE
Suite 200
Poulsbo, WA 98370-7384

Phone

(360) 697-7710

Fax

(360) 779-3829

NPI assigned

Nov 8, 2006

Last updated

Feb 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

ZINN VENTURES INCAs reported in NPPES

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

Authorized official

Name

Mr. Wade Randall Zinn, P.T.NPI 1629152442

Title

President

Phone

(360) 697-7710

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Wade Zinn Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Zinn Ventures Inc

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wade Randall Zinn, P.T,

  • Physical Therapist
  • Poulsbo, WA
  • NPI 1629152442
  Medicare reassignment NPD Authorized official
• Margery F Miller, PT

  • Physical Therapist
  • Poulsbo, WA
  • NPI 1780802967
  NPD (past)
• Mark David Schorn, P.T.

  • Physical Therapist
  • Bainbridge Island, WA
  • NPI 1609928944
  NPD (past)
• Megan Elizabeth Stanford, DPT

  • Physical Therapist
  • Poulsbo, WA
  • NPI 1346312402
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1922178961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24806 PORT GAMBLE RD NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708826",
            "telephone_number": "360-297-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19611 7TH AVE NE",
            "address_2": "SUITE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707384",
            "telephone_number": "360-697-7710",
            "fax_number": "360-779-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINN VENTURES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZINN VENTURES INC",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "ZINN",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-697-7710",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7074917",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wade Zinn Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yiwen You
• Your Forever Home, PLLC
• Zachary D Miller DDS PLLC (Finn Hill Dental)
• Reid Zeller, MA, LMHC
• Olga Zhirnova
• Kristin M Zinn, MS, PT
• Wade Randall Zinn, P.T,
• Lisa Zukowsky, NTP

• Physical Therapist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.