Active NPI
Alan Zidek, PT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1972705804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 013396
- Practice address
- 5557 Cheviot Rd
Cincinnati, OH 45247-7020 - Phone
- (513) 923-1700
- NPI assigned
- Jun 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 013396 | OH | Primary |
| Physical Therapist | 225100000X | 2829 | AR |
Addresses
Primary practice location
5557 Cheviot Rd
Cincinnati, OH 45247-7020
Mailing address
3827 Paxton Ave
Cincinnati, OH 45209-2414
Phone (501) 213-5159
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 |
|---|---|---|---|
| 2829 | AR | MD | Physical Therapist |
| PT 013396 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindsay Braun | Past | Accepting new patients | |
| Center for Advanced Spine Technologies, Inc | Physical Therapist | Past | Accepting new patients |
| Guenthner Physical Therapy Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Cincinnati, OH
- NPI 1114114089
-
- Orthopaedic Surgery of the Spine Physician
- Florence, KY
- NPI 1720224959
Physical Therapist
-
- Physical Therapy Clinic/Center
- Denver, CO
- NPI 1710334842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1972705804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 PAXTON AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452092414",
"telephone_number": "501-213-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5557 CHEVIOT RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477020",
"telephone_number": "513-923-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDEK",
"first_name": "ALAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 013396",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "2829",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.