Active NPI
Zachary Rupp, DPT
- Physical Therapist
- Knoxville, TN
National Provider Identifier
1265080717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 096583 | IA | MD | Physical 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.
-
- Physical Medicine & Rehabilitation Physician
- Waukee, IA
- NPI 1902971898
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.