Provider Demographics
NPI:1376135483
Name:ZAPINSKI, JORDAN PHILLIP (PT)
Entity Type:Individual
Prefix:
First Name:JORDAN
Middle Name:PHILLIP
Last Name:ZAPINSKI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67232 GRATIOT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:MI
Mailing Address - Zip Code:48062-1915
Mailing Address - Country:US
Mailing Address - Phone:586-430-1154
Mailing Address - Fax:
Practice Address - Street 1:67232 GRATIOT AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:MI
Practice Address - Zip Code:48062-1915
Practice Address - Country:US
Practice Address - Phone:586-430-1154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-09
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2201019964225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist