Organization Active NPI

Engage Physical Therapy Inc.

  • Physical Therapist
  • Shafter, CA
National Provider Identifier
1225501281
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ENGAGE PHYSICAL THERAPY INC.
Practice address
1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417
Phone
(661) 200-9660
NPI assigned
Jan 2, 2019
Last updated
Jan 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Authorized official

Name
Dr. Zachary Michael Luce, PT,DPT,OCS,SCSNPI 1740378884
Title
Owner/Director
Phone
(661) 200-9660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417

Mailing address

1160 E Lerdo Hwy Unit B
Shafter, CA 93263-9417
Phone (661) 200-9660

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190703002151 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7214260207 Receives reassigned benefits from 2 practitioners
Practice locations: Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

5300 Lennox Ave
Ste 200
Bakersfield, CA 93309
Phone (661) 200-9660

1160 E Lerdo Hwy
Unit B
Shafter, CA 93263
Phone (661) 200-9660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1225501281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E LERDO HWY UNIT B",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932639417",
            "telephone_number": "661-200-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E LERDO HWY UNIT B",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932639417",
            "telephone_number": "661-200-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGAGE PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "LUCE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "661-200-9660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,OCS,SCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shafter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.