Zachary Pavlichek, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

75 W Wesmark Blvd
Sumter, SC 29150-1955

Phone

(803) 938-5395

NPI assigned

Apr 24, 2017

Last updated

Jun 13, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Carolina Physical Therapy and Sports Medicine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1952491490
  NPD

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1043745383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 6TH ST E",
            "address_2": "612",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551014911",
            "telephone_number": "715-220-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501955",
            "telephone_number": "803-938-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Lundorff Drive South",
            "address_purpose": "LOCATION",
            "city": "Sandstone",
            "state": "MN",
            "postal_code": "550725120",
            "country_code": "US",
            "telephone_number": "320-245-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLICHEK",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirav Rameshchandra Pathak, M.D.
• Pathway to Serenity Case Management
• Pathways to Life, Inc
• Patriot Living of Sumter, LLC
• Valencia Arthiena Patterson, ACNPC-AG
• Melba G. Payne
• Pearl for Pearls
• Deborah Denise Pearson, LMSW
• James D Pearson
• Kimberly Corina Pearson, MSW

• Physical Therapist in Sumter, SC
• Providers in Sumter, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.