Basic Information
| Provider Information | |||||||||
| NPI: | 1275980583 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZAPATA PHYSICAL THERAPIST PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 BENNETT AVE # 1 L | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125434787 | ||||||||
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| Practice Location | |||||||||
| Address1: | 427 FORT WASHINGTON AVE # W1A | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100333505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9176004627 | ||||||||
| FaxNumber: | 8669176627 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2016 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| AuthorizedOfficialLastName: | ZAPATA | ||||||||
| AuthorizedOfficialFirstName: | JULIE | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9176004627 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2000X | 40QA000922300 | NJ | N | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy | 261QP2000X | 025422 | NY | Y | Ambulatory Health Care Facilities | Clinic/Center | Physical Therapy |
No ID Information.