Individual provider Active NPI

Fletcher John Zumbusch, PT

  • Physical Therapist
  • Signal Hill, CA
National Provider Identifier
1124671821
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296753 Issued in CA
Practice address
2501 Cherry Ave Ste 250
Signal Hill, CA 90755-2041
Phone
(562) 595-5159
NPI assigned
Jul 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1319306 TX
Sports Physical Therapist 2251S0007X 296753 CA
Physical Therapist 225100000X 296753 CA Primary

Addresses

Primary practice location

2501 Cherry Ave Ste 250
Signal Hill, CA 90755-2041

Mailing address

5527 Dunrobin Ave
Lakewood, CA 90713-1403

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211008001017 CA Practitioner - Physical Therapist in Private Practice 9537567334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Orthopedic Physical TherapyGroup PAC ID 1052343340, 5 clinicians

Practice addresses (Care Compare)

2501 Cherry Ave
Suite 250
Signal Hill, CA 90755-2041
Phone (562) 595-5159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
296753CAMDPhysical Therapist
1319306TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 20, 2021 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Feb 1, 2022 Accepting new patients
Advanced Orthopedic Physical Therapy Physical Therapist CurrentSince Apr 24, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Feb 1, 2022 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

2501 Cherry Ave
Ste 250
Signal Hill, CA 90755
Phone (562) 595-5159

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1124671821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5527 DUNROBIN AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 CHERRY AVE STE 250",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552041",
            "telephone_number": "562-595-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMBUSCH",
        "first_name": "FLETCHER",
        "middle_name": "JOHN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319306",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "296753",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Signal Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.