Individual provider Active NPI

Janelle Zych, DPT

  • Physical Therapist
  • Salem, OR
National Provider Identifier
1326464181
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60489 Issued in OR
Practice address
2480 Liberty St NE
Suite 140
Salem, OR 97301
Phone
(503) 763-3525
Fax
(503) 763-3526
NPI assigned
Mar 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 60489 OR Primary

Addresses

Primary practice location

2480 Liberty St NE
Suite 140
Salem, OR 97301

Mailing address

500 Villa Rd
Newberg, OR 97132-1860
Phone (503) 537-1863

Other practice location 1

2480 Liberty St NE
Suite 140
Salem, OR 97301-8380
Phone (503) 763-3525

Other identifiers 1

IdentifierTypeStateIssuer
60489OtherORPT LICENSE #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
60489ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erhardt Physical Therapy and Sports Medicine, LLC Physical Therapist CurrentSince Feb 12, 2014 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

2480 Liberty St NE
Ste 140
Salem, OR 97301
Phone (503) 763-3525

4999 Skyline Rd S
Ste 90
Salem, OR 97306
Phone (503) 566-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1326464181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321860",
            "telephone_number": "503-537-1863",
            "fax_number": "503-537-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "address_2": "SUITE 140",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97301",
            "telephone_number": "503-763-3525",
            "fax_number": "503-763-3526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2480 Liberty St NE",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973018380",
            "country_code": "US",
            "telephone_number": "503-763-3525",
            "fax_number": "503-763-3526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYCH",
        "first_name": "JANELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "60489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE #",
            "identifier": "60489",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.