MEDICARE: PMZ, INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	144503	OTHER	MO	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1932232642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PMZ, INC

Provider Business Mailing Address
First Line	:	PO BOX 31062
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-0062
Country	:	US
Telephone Number	:	314-432-3111
Fax Number	:	314-432-3177

Provider Business Practice Location Address
First Line	:	777 S NEW BALLAS RD
Second Line	:	130 WEST
City	:	SAINT LOUIS
State	:	MO
Zip	:	63141-8705
Country	:	US
Telephone Number	:	314-432-3111
Fax Number	:	314-432-3177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS PATRICIA M. ZORN
Credential	:	P.T.
Telephone Number	:	314-432-3111

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	08/22/2020

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Directions to “PMZ, INC ” Practice Location

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