NPI Code Detail JSON Logo

1538770995 NPI number — MARCO ZANIN PT

NPI Number: 1538770995
Health Care Provider/Practitioner: MARCO ZANIN PT

Information about “1538770995” NPI (MARCO ZANIN PT) exists in 1538770995 in HTML format HTML  |  1538770995 in plain Text format TXT  |  1538770995 in PDF (Portable Document Format) PDF  |  1538770995 in an XML format XML  formats.

NPI Number : 1538770995 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1538770995",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ZANIN",
    "FirstName": "MARCO",
    "MiddleName": null,
    "NamePrefix": "MR.",
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 979",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OREM",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84059-0979",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "361-688-0159",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "631 E 180 N UNIT 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VINEYARD",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84059-8187",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "361-688-0159",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/11/2020",
    "LastUpdateDate": "08/11/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "11303359-2401",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.