Individual provider Active NPI

Zachary Wayne Minton, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1205202496
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012042 Issued in GA
Practice address
1005 Virginia Ave
Atlanta, GA 30354-1326
Phone
(404) 762-1001
Fax
(404) 762-1007
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012042 GA Primary
Physical Therapist 225100000X 7773 SC

Addresses

Primary practice location

1005 Virginia Ave
Atlanta, GA 30354-1326

Mailing address

1005 Virginia Ave
Atlanta, GA 30354-1326
Phone (404) 762-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT012042GAMDPhysical Therapist
7773SCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1205202496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 VIRGINIA AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541326",
            "telephone_number": "404-762-1001",
            "fax_number": "404-762-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 VIRGINIA AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541326",
            "telephone_number": "404-762-1001",
            "fax_number": "404-762-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "ZACHARY",
        "middle_name": "WAYNE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012042",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.