Individual provider Active NPI

Mike Zaff, OTR, PT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1265672414
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1172558 Issued in TX
Practice address
11520 N Central Expy
Suite 150
Dallas, TX 75243-6605
Phone
(214) 680-3669
NPI assigned
Mar 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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 1172558 TX Primary
Occupational Therapist 225X00000X 111414 TX

Addresses

Primary practice location

11520 N Central Expy
Suite 150
Dallas, TX 75243-6605

Mailing address

11520 N Central Expy
Suite 150
Dallas, TX 75243-6605
Phone (214) 680-3669

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
1172558TXMDPhysical Therapist
111414TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Therapy Past Accepting new patients

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": "1235865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1265672414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11520 N CENTRAL EXPY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436605",
            "telephone_number": "214-680-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11520 N CENTRAL EXPY",
            "address_2": "SUITE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436605",
            "telephone_number": "214-680-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFF",
        "first_name": "MIKE",
        "credential": "OTR, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-01",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1172558",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.