Individual provider Active NPI

Luanne Marilyn Zobenica

  • Physical Therapist
  • Duluth, MN
National Provider Identifier
1942365820
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2456 Issued in MN
Practice address
114 S 20TH Ave W
Suite a
Duluth, MN 55806-3526
Phone
(218) 721-4732
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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 2456 MN Primary

Addresses

Primary practice location

114 S 20TH Ave W
Suite a
Duluth, MN 55806-3526

Mailing address

114 S 20TH Ave W
Suite a
Duluth, MN 55806-3526
Phone (218) 721-4732

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
2456MNMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1942365820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S 20TH AVE W",
            "address_2": "SUITE A",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063526",
            "telephone_number": "218-721-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S 20TH AVE W",
            "address_2": "SUITE A",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063526",
            "telephone_number": "218-721-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOBENICA",
        "first_name": "LUANNE",
        "middle_name": "MARILYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.