Active NPI
Zachariah Douglas
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1053786392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012221
- Practice address
- 1820 Meadowlark Cir
Lincoln, NE 68521-1570 - Phone
- (402) 202-8351
- NPI assigned
- Dec 12, 2015
- Last updated
- Dec 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012221 | NU | Primary |
Addresses
Primary practice location
1820 Meadowlark Cir
Lincoln, NE 68521-1570
Mailing address
1820 Meadowlark Cir
Lincoln, NE 68521-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dana Health and Wellness Center Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Anapa Wellness & Chiropractic Clinic
- General Practice Physician
- Duluth, GA
- NPI 1063823581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449878400000",
"number": "1053786392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 MEADOWLARK CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 MEADOWLARK CIR",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685211570",
"telephone_number": "402-202-8351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "ZACHARIAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-12",
"last_updated": "2015-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": "PT012221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.