Basic Information
Provider Information
NPI: 1003009036
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZABIEREK
FirstName: JENNILLE
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17325 BELL NORTH DR
Address2: SUITE 2-B
City: SCHERTZ
State: TX
PostalCode: 781543368
CountryCode: US
TelephoneNumber: 8885904002
FaxNumber: 8592681202
Practice Location
Address1: 1103 CYPRESS CREEK RD
Address2: SUITE 101
City: CEDAR PARK
State: TX
PostalCode: 786133924
CountryCode: US
TelephoneNumber: 5129180044
FaxNumber: 2105904585
Other Information
ProviderEnumerationDate: 08/22/2007
LastUpdateDate: 10/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1269600TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X005612KYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X29811CAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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