Organization Active NPI

Zenker Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Mandan, ND
National Provider Identifier
1972740918
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1498 Issued in ND
Legal business name
ZENKER PHYSICAL THERAPY, PC
Practice address
101 Collins Ave
Suite B
Mandan, ND 58554-3176
Phone
(701) 667-8778
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Teejay L Zenker, PT
Title
Physical Therapist
Phone
(701) 667-8778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1498 ND Primary

Addresses

Primary practice location

101 Collins Ave
Suite B
Mandan, ND 58554-3176

Mailing address

101 Collins Ave
Suite B
Mandan, ND 58554-3176

Other identifiers 3

IdentifierTypeStateIssuer
1316108327OtherNDBCBS OF ND
55345MedicaidND
55283MedicaidND

National Provider Directory

National Provider Directory

Locations

101 Collins Ave
Ste B
Mandan, ND 58554
Phone (701) 667-8778

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1972740918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLLINS AVE",
            "address_2": "SUITE B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLLINS AVE",
            "address_2": "SUITE B",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543176",
            "telephone_number": "701-667-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENKER PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "ZENKER",
        "authorized_official_first_name": "TEEJAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "701-667-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "ND",
            "license": "1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ND",
            "identifier": "1316108327",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55345",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55283",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.