Healthcare Provider Details

I. General information

NPI: 1841882404
Provider Name (Legal Business Name): ANGELINE ZAPPITELLI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 04/14/2022
Certification Date: 04/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 W 27TH ST
ASHTABULA OH
44004-4975
US

IV. Provider business mailing address

416 W 27TH ST
ASHTABULA OH
44004-4975
US

V. Phone/Fax

Practice location:
  • Phone: 440-997-5427
  • Fax: 440-997-5486
Mailing address:
  • Phone: 440-997-5427
  • Fax: 440-997-5486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05014551A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: