MEDICARE: JOHN ZAPANTA PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	0012383	CO

General Provider Information

NPI Number	:	1225464142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN ZAPANTA PT, DPT

Provider Business Mailing Address
First Line	:	1025 ELM ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-1813
Country	:	US
Telephone Number	:	602-326-2265
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 W MAGNOLIA ST
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80521-2915
Country	:	US
Telephone Number	:	602-326-2265
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2013
Last Update Date	:	06/04/2018

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