Provider Demographics
NPI:1275980583
Name:ZAPATA PHYSICAL THERAPIST PLLC
Entity Type:Organization
Organization Name:ZAPATA PHYSICAL THERAPIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-600-4627
Mailing Address - Street 1:120 BENNETT AVE # 1 L
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033
Mailing Address - Country:US
Mailing Address - Phone:212-543-4787
Mailing Address - Fax:
Practice Address - Street 1:427 FORT WASHINGTON AVE # W1A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3505
Practice Address - Country:US
Practice Address - Phone:917-600-4627
Practice Address - Fax:866-917-6627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025422261QP2000X
NJ40QA000922300261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1427144401Medicare NSC