Individual provider Active NPI

Pan Zhang, D.P.T

  • Physical Therapy Clinic/Center
  • Pittsburgh, PA
National Provider Identifier
1316278401
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT020384 Issued in PA
Practice address
120 Lytton Ave
Suite 275
Pittsburgh, PA 15213-1481
Phone
(412) 621-5430
Fax
(412) 621-5460
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT020384 PA Primary

Addresses

Primary practice location

120 Lytton Ave
Suite 275
Pittsburgh, PA 15213-1481

Mailing address

524 Agnew Rd
Greensburg, PA 15601-9701
Phone (724) 552-7270

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170104000663 WA Practitioner - Physical Therapist in Private Practice 8022399120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

100 E 33Rd St
Suite 204
Vancouver, WA 98663-2776
Phone (360) 823-0138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020384PAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
New Proactive LLC Physical Therapy CurrentSince May 1, 2017 Accepting new patients

Locations

1480 NE Village St
Fairview, OR 97024
Phone (503) 489-1174

1808 SW 9th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 723-0797

100 E 33rd St
Ste 204
Vancouver, WA 98663
Phone (360) 823-0138

2621 NE 134th St
Ste 310
Vancouver, WA 98686
Phone (360) 859-3346

100 E 33rd St
Ste 206B
Vancouver, WA 98663
Phone (360) 823-0138

6700 NE 162nd Ave
Ste 411
Vancouver, WA 98682
Phone (360) 567-0633

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1316278401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 AGNEW RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019701",
            "telephone_number": "724-552-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LYTTON AVE",
            "address_2": "SUITE 275",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152131481",
            "telephone_number": "412-621-5430",
            "fax_number": "412-621-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "PAN",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT020384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.