Individual provider Active NPI

Michael Zagare, PT

  • Physical Therapist
  • Merrick, NY
National Provider Identifier
1063636652
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029447-1 Issued in NY
Practice address
1545 Walnut Ave
Merrick, NY 11566-2218
Phone
(516) 214-8307
Fax
(516) 750-9086
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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 029447-1 NY Primary

Addresses

Primary practice location

1545 Walnut Ave
Merrick, NY 11566-2218

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818003092 SC Practitioner - Physical Therapist in Private Practice 7214026764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

103 N Main St
Suite 201
Greenville, SC 29601-2756
Phone (864) 528-5753

203 E Butler Rd
Suite C
Mauldin, SC 29662-2105
Phone (864) 268-6686

233 N Main St Apt
Suite 511
Greenville, SC 29601-2174

569 Roe Ctr CT
Suite 200
Travelers Rest, SC 29690-1998
Phone (864) 660-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12945SCMDPharmacist
029447-1NYMDPhysical Therapist
029447NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Sep 6, 2019 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jul 14, 2025 Accepting new patients
Southern Steps Home Therapy, LLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jul 14, 2025 Accepting new patients
Evolution Home Physical Therapy, P.C. Physical Therapist PastSince Nov 5, 2023 Accepting new patients

Locations

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1250 Waters Pl
#12
Bronx, NY 10461
Phone (800) 527-2524

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

Organizations & group practices 5

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1063636652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WALNUT AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662218",
            "telephone_number": "516-214-8307",
            "fax_number": "516-750-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGARE",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.