Healthcare Provider Details

I. General information

NPI: 1134979503
Provider Name (Legal Business Name): ZARNA KOTHARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5476 APEX PEAKWAY
APEX NC
27502-3924
US

IV. Provider business mailing address

3418 RISE DR
MORRISVILLE NC
27560-5923
US

V. Phone/Fax

Practice location:
  • Phone: 919-626-9799
  • Fax:
Mailing address:
  • Phone: 984-292-5859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP19477
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: