Active NPI
Zachary Shampain, PT, DPT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1316545684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 046232
- Practice address
- 2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159 - Phone
- (858) 755-5200
- Fax
- (619) 223-2307
- NPI assigned
- Oct 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 046232 | NY | Primary |
Addresses
Primary practice location
2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159
Mailing address
307 5TH Ave FL 6
New York, NY 10016-6575
Phone (212) 759-2282
Other practice location 1
269 W 16th St
New York, NY 10011-6000
Phone (646) 841-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230131001704 | CA | Practitioner - Physical Therapist in Private Practice | 7719397017 | Practice locations: San Diego, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046232 | NY | MD | Physical Therapist |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J Marsh Chiropractic Corporation | Past | Accepting new patients | |
| Ortega Chiropractic, Inc. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Chiropractor
- San Diego, CA
- NPI 1194253286
-
- Chiropractor
- San Diego, CA
- NPI 1659506483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1316545684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 5TH AVE FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166575",
"telephone_number": "212-759-2282",
"fax_number": "212-379-2123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 TRUXTUN RD STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921066159",
"telephone_number": "858-755-5200",
"fax_number": "619-223-2307"
}
],
"practiceLocations": [
{
"address_1": "269 W 16th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100116000",
"country_code": "US",
"telephone_number": "646-841-1411",
"fax_number": "212-379-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAMPAIN",
"first_name": "ZACHARY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-09",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "046232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.