Active NPI
John Zdankus, PT, DPT
- Physical Therapist
- Saratoga, CA
National Provider Identifier
1104524180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 303766
- Practice address
- 12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661 - Phone
- (408) 973-7700
- NPI assigned
- Feb 20, 2023
- 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 | 303766 | CA | Primary |
Addresses
Primary practice location
12930 Saratoga Ave Ste B5
Saratoga, CA 95070-4661
Mailing address
19207 Brockton LN
Saratoga, CA 95070-4005
Phone (408) 691-7781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 303766 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12930 Saratoga Ave
Suite B5
Saratoga, CA 95070-4661
Phone (408) 973-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optm Physical Therapy of Saratoga, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
12930 Saratoga Ave
Ste B5
Saratoga, CA 95070
Phone (408) 763-4905
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": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1104524180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19207 BROCKTON LN",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704005",
"telephone_number": "408-691-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12930 SARATOGA AVE STE B5",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704661",
"telephone_number": "408-973-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDANKUS",
"first_name": "JOHN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "303766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "303766",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.