Individual provider Active NPI

Erica Zettlemoyer, PT

  • Physical Therapist
  • Ft Worth, TX
National Provider Identifier
1124495114
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1197803 Issued in TX
Practice address
6601 Harris Pkwy
Ft Worth, TX 76132-6108
Phone
(817) 433-9742
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 1197803 TX Primary

Addresses

Primary practice location

6601 Harris Pkwy
Ft Worth, TX 76132-6108

Mailing address

6601 Harris Pkwy
Ft Worth, TX 76132-6108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231211000160 TX Practitioner - Physical Therapist in Private Practice 8628427168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Physical Therapy IncGroup PAC ID 4789609801, 8 clinicians

Practice addresses (Care Compare)

5310 Acton Hwy
Suite 106
Granbury, TX 76049-3105
Phone (817) 326-1375

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
93
Improvement activities
40
Cost
77.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1197803TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Physical Therapist CurrentSince Nov 16, 2023 Accepting new patients

Locations

5310 Acton Hwy
Ste 106
Granbury, TX 76049
Phone (817) 326-1375

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": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1124495114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 HARRIS PKWY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761326108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 HARRIS PKWY",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761326108",
            "telephone_number": "817-433-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETTLEMOYER",
        "first_name": "ERICA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1197803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.