Richard C Zaccaro, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4427 Issued in OK

Practice address

2234 W Houston St Ste B
Broken Arrow, OK 74012-3519

Phone

(918) 259-1888

Fax

(918) 251-3725

NPI assigned

Mar 18, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Therapy Specialists, LLCGroup PAC ID 1759294689, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1033277413
  Medicare reassignment Care Compare group NPD
• Excel Therapy Specialists, LLC

  • Physical Therapist
  • Muskogee, OK
  • NPI 1942368329
  NPD
• West Milford Physical Therapy Center, LLC

  • Occupational Therapist
  • West Milford, NJ
  • NPI 1831102888

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1225279425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 N STRONG BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745013839",
            "telephone_number": "918-426-1322",
            "fax_number": "918-426-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARO",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-18",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200330730A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Yarusso-Ankeny, PA-C
• Kamla N Yocum, COTA
• Rachel Young, DMD
• Rebecca Young, RN
• Corina Zabel, LPC
• Angela Zanders, DPH
• Helena Zelnick
• Yuanyuan Zhu
• Ashley Zoller, PHARMD
• Michael Dwayne Zugelder, D.C.

• Physical Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.