Individual provider Active NPI

Zachary Ray, PT, SCS

  • Physical Therapist
  • Westlake Village, CA
National Provider Identifier
1174853162
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 36231 Issued in CA
Practice address
2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone
(805) 910-9913
Fax
(805) 309-7605
NPI assigned
Jan 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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 PT 36231 CA Primary

Addresses

Primary practice location

2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113

Mailing address

2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone (805) 910-9913

Other practice location 1

2488 Townsgate Rd Ste C
Westlake Village, CA 91361-6113
Phone (805) 910-9913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000090 CA Practitioner - Physical Therapist in Private Practice 3072658541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
X2 Performance Institute IncGroup PAC ID 7113246828, 3 clinicians

Practice addresses (Care Compare)

2488 Townsgate Rd
Suite C
Westlake Village, CA 91361-6113
Phone (805) 310-9913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 36231CAMDPhysical Therapist
36231CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Care Sports Medicine & Rehabilitation Center, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Evolution Physical Therapy, Inc Physical Therapist PastSince Nov 1, 2014 Accepting new patients

Locations

10701 Riverside Dr
Ste B
Toluca Lake, CA 91602
Phone (818) 766-4307

Organizations & group practices 3

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1174853162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 TOWNSGATE RD STE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616113",
            "telephone_number": "805-910-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 TOWNSGATE RD STE C",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913616113",
            "telephone_number": "805-910-9913",
            "fax_number": "805-309-7605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2488 Townsgate Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913616113",
            "country_code": "US",
            "telephone_number": "805-910-9913",
            "fax_number": "805-309-7605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "ZACHARY",
        "credential": "PT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 36231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.