Provider Demographics
NPI:1245248186
Name:NASTASKIN, ZOYA (DPT)
Entity type:Individual
Prefix:
First Name:ZOYA
Middle Name:
Last Name:NASTASKIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2248 DORCHESTER ST W
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1529
Mailing Address - Country:US
Mailing Address - Phone:215-760-2787
Mailing Address - Fax:215-501-5055
Practice Address - Street 1:2248 DORCHESTER ST W
Practice Address - Street 2:
Practice Address - City:FURLONG
Practice Address - State:PA
Practice Address - Zip Code:18925-1529
Practice Address - Country:US
Practice Address - Phone:215-760-2787
Practice Address - Fax:215-501-5055
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1696380OtherBCBS
1696380OtherHIGHMARK BCS PT GROUP
3843177OtherAETNA
1693324OtherHIGHMARK BCS PIN
PA1696380OtherBCBS
3843177OtherAETNA
1693324OtherHIGHMARK BCS PIN
PA1013277600001Medicaid
090307Medicare ID - Type UnspecifiedGROUP
3843177OtherAETNA