Individual provider Active NPI

Zachery Paul Christenson

  • Physical Therapist
  • McMinnville, OR
National Provider Identifier
1053984542
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64058 Issued in OR
Practice address
2025 NE Baker St Ste a
McMinnville, OR 97128-2656
Phone
(503) 435-1900
Fax
(503) 435-1930
NPI assigned
Jul 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 64058 OR
Physical Therapist 225100000X 64058 OR Primary

Addresses

Primary practice location

2025 NE Baker St Ste a
McMinnville, OR 97128-2656

Mailing address

2025 NE Baker St Ste a
McMinnville, OR 97128-2656
Phone (503) 435-1900

Other practice location 1

2435 NE Cumulus Ave Ste D
McMinnville, OR 97128-8805
Phone (503) 857-0897

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913001816 OR Practitioner - Physical Therapist in Private Practice 7618373911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Physical Therapy, IncGroup PAC ID 6002981479, 5 clinicians

Practice addresses (Care Compare)

2025 NE Baker St a
McMinnville, OR 97128-2656
Phone (503) 435-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64058ORMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Physical Therapy, Inc CurrentSince Jul 20, 2021 Accepting new patients

Locations

2025 NE Baker St
Ste A
McMinnville, OR 97128
Phone (503) 435-1900

2435 NE Cumulus Ave
Ste D
McMinnville, OR 97128
Phone (503) 857-0897

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1053984542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656",
            "telephone_number": "503-435-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 NE BAKER ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282656",
            "telephone_number": "503-435-1900",
            "fax_number": "503-435-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 NE Cumulus Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971288805",
            "country_code": "US",
            "telephone_number": "503-857-0897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSON",
        "first_name": "ZACHERY",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "64058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.