Provider Demographics
NPI:1861256257
Name:AMMONS, ZACHARY ANDREW (DPT)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ANDREW
Last Name:AMMONS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 STARLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-4043
Mailing Address - Country:US
Mailing Address - Phone:216-392-4822
Mailing Address - Fax:
Practice Address - Street 1:5052 WATERFORD DR UNIT 102
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1497
Practice Address - Country:US
Practice Address - Phone:440-934-9950
Practice Address - Fax:440-934-9952
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020930225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist