Active NPI
Zachary Roy
- Physical Therapist
- Pasadena, MD
National Provider Identifier
1114413879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29366
- Practice address
- 8028 Ritchie Hwy Ste 120
Pasadena, MD 21122-1069 - Phone
- (410) 590-8750
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT026976 | PA | |
| Physical Therapist | 225100000X | 40QA01797500 | NJ | |
| Orthopedic Physical Therapist | 2251X0800X | |||
| Physical Therapist | 225100000X | 29366 | MD | Primary |
Addresses
Primary practice location
8028 Ritchie Hwy Ste 120
Pasadena, MD 21122-1069
Mailing address
120 W Germantown Pike Ste 100
Plymouth Meeting, PA 19462-1420
Phone (610) 270-0370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01797500 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy First, LLC | Current | Accepting new patients |
Locations
200 W Cold Spring Ln
Ste 300
Baltimore, MD 21210
Phone (410) 662-7977
9110 Philadelphia Rd
Ste 100
Rosedale, MD 21237
Phone (410) 391-3700
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.
-
- Point of Service
- Baltimore, MD
- NPI 1528240850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1114413879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W GERMANTOWN PIKE STE 100",
"city": "PLYMOUTH MEETING",
"state": "PA",
"postal_code": "194621420",
"telephone_number": "610-270-0370",
"fax_number": "610-270-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8028 RITCHIE HWY STE 120",
"city": "PASADENA",
"state": "MD",
"postal_code": "211221069",
"telephone_number": "410-590-8750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-06",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT026976",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01797500",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "29366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.