National Provider Identifier
Jeremy Michael Zgoda, PT, DPT
Jeremy Michael Zgoda, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1285213173
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 52 Ranch Trl
- Williamsville, NY 14221-2437
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1285213173
- Entity Type
- Individual
- Last Name
- Zgoda
- First Name
- Jeremy
- Middle Name
- Michael
- Name Prefix
- Dr.
- Credential
- PT, DPT
- Mailing Street Address
- 52 Ranch Trl
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-2437
- Mailing Country
- US
- Mailing Phone
- (716) 908-5874
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- April 07, 2021
- Last Updated
- April 07, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)