MEDICARE: MELANIE ZIAZIARIS

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	05015103A	IN

General Provider Information

NPI Number	:	1629759923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE ZIAZIARIS

Provider Business Mailing Address
First Line	:	1451 W THOME AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60660-1819
Country	:	US
Telephone Number	:	773-633-0874
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 N MARR RD
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2609
Country	:	US
Telephone Number	:	773-633-0874
Fax Number	:

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

Provider Enumeration Date	:	07/28/2023
Last Update Date	:	07/28/2023

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Directions to “ MELANIE ZIAZIARIS ” Practice Location

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