Provider Demographics
NPI:1326362062
Name:ZEMMELMAN, MATTHEW LOUIS (DPT)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:LOUIS
Last Name:ZEMMELMAN
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 1:135 BALLENTRAE CT APT 305
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-5546
Mailing Address - Country:US
Mailing Address - Phone:919-548-8385
Mailing Address - Fax:
Practice Address - Street 1:1711 S PEARL ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3134
Practice Address - Country:US
Practice Address - Phone:303-733-5255
Practice Address - Fax:303-675-8608
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10861225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOAAA0543Medicare PIN