Zachary Mertz

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38574 Issued in CA

Practice address

631 S Ham LN Ste B
Lodi, CA 95242-3532

Phone

(209) 368-7433

Fax

(209) 222-6182

NPI assigned

Oct 10, 2011

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

67.73 of 100Reported as group

Quality

41.21

Improvement activities

40

Cost

83.55

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.

• Golden Bear Physical Therapy Sports Injury Center, Inc

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1811084676

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Gold Country Therapies, Inc

  • Physical Therapy Clinic/Center
  • Valley Springs, CA
  • NPI 1447658067
  NPD (past)
• Sutter Gould Medical Foundation

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1326093360
  NPD (past)

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1265716104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 S HAM LN STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423532",
            "telephone_number": "209-368-7433",
            "fax_number": "209-222-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 S HAM LN STE B",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423532",
            "telephone_number": "209-368-7433",
            "fax_number": "209-222-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Wellness Club LLC
• Victoria Sibayan Merck, M.F.T.
• Lauri K. Merrill, P.T.
• Todd M. Merrill, P.T.
• Ciera Noele Mertens, MS
• Rafaqat Sultana Mian, RN
• Michael C Ditolla DDS Professional Dental Corporation
• Laura A Michaels, OTR/L
• Miesha S in-Home Care LLC
• Elvira A Milano, M.D.

• Physical Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.