Active NPI
Zenker Physical Therapy, PC
- Physical Therapy Clinic/Center
- Mandan, ND
National Provider Identifier
1972740918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 1498
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316108327 | Other | ND | BCBS OF ND |
| 55345 | Medicaid | ND | |
| 55283 | Medicaid | ND |
National Provider Directory
National Provider DirectoryLocations
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.