Individual provider Active NPI

Dominick L Zavala, PT, DPT

  • Physical Therapist
  • McAllen, TX
National Provider Identifier
1013754894
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2001 S D St
McAllen, TX 78503-1854
Phone
(956) 686-2242
Fax
(956) 686-3515
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2001 S D St
McAllen, TX 78503-1854

Mailing address

2001 S D St
McAllen, TX 78503-1854
Phone (956) 686-2242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001624 TX Practitioner - Physical Therapist in Private Practice 6305384728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Xcell Orthopaedics Institute of Sports Performance, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Xcell Orthopaedics Institute of Sports Performance & Rehab Physical Therapist PastSince Jul 1, 2024 Accepting new patients

Locations

2001 S D St
McAllen, TX 78503
Phone (956) 375-2216

1110 James St
Weslaco, TX 78596
Phone (956) 375-2216

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1013754894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S D ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031854",
            "telephone_number": "956-686-2242",
            "fax_number": "956-686-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S D ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031854",
            "telephone_number": "956-686-2242",
            "fax_number": "956-686-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "DOMINICK",
        "middle_name": "L",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.