Individual provider Active NPI

Zachary Rupp, DPT

  • Physical Therapist
  • Knoxville, TN
National Provider Identifier
1265080717
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12807 Issued in TN
Practice address
8537 Asheville Hwy Ste 201
Knoxville, TN 37924-4123
Phone
(865) 225-7300
Fax
(865) 225-7301
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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 096583 IA
Physical Therapist 225100000X 12807 TN Primary

Addresses

Primary practice location

8537 Asheville Hwy Ste 201
Knoxville, TN 37924-4123

Mailing address

2971 Lambe Rd
Zwingle, IA 52079-9702
Phone (563) 451-8217

Other practice location 1

2971 Lambe Rd
Zwingle, IA 52079-9702
Phone (563) 451-8217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003400 IA Practitioner - Physical Therapist in Private Practice 9032547328 Reassigns benefits to 1 organization

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
Absolute Performance Therapy, PCGroup PAC ID 7911909908, 2 clinicians

Practice addresses (Care Compare)

225 E Hickman Rd
Waukee, IA 50263-5022
Phone (515) 987-6267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096583IAMDPhysical Therapist

Organizations & group practices 1

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1265080717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2971 LAMBE RD",
            "city": "ZWINGLE",
            "state": "IA",
            "postal_code": "520799702",
            "telephone_number": "563-451-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8537 ASHEVILLE HWY STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379244123",
            "telephone_number": "865-225-7300",
            "fax_number": "865-225-7301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2971 Lambe Rd",
            "address_purpose": "LOCATION",
            "city": "Zwingle",
            "state": "IA",
            "postal_code": "520799702",
            "country_code": "US",
            "telephone_number": "563-451-8217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPP",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "096583",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.