Healthcare Provider Details

I. General information

NPI: 1225955438
Provider Name (Legal Business Name): DREW THOMAS ZITEK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S ALBERT PIKE AVE APT 1
FORT SMITH AR
72903-3065
US

IV. Provider business mailing address

1500 S ALBERT PIKE AVE APT 1
FORT SMITH AR
72903-3065
US

V. Phone/Fax

Practice location:
  • Phone: 402-404-0036
  • Fax:
Mailing address:
  • Phone: 479-310-0760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5778
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: