Individual provider Active NPI

Zachary Roy

  • Physical Therapist
  • Pasadena, MD
National Provider Identifier
1114413879
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29366 Issued in MD
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

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230516003523 MD Practitioner - Physical Therapist in Private Practice 0840541207 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01797500NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy First, LLC CurrentSince May 8, 2023 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.

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.

Verify at the official NPI Registry.