Individual provider Active NPI

Zachary J Ullman, DPT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1346862430
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070026502 Issued in IL
Practice address
1979 McDowell Rd Ste 111
Naperville, IL 60563
Phone
(630) 895-4030
Fax
(630) 895-4032
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 096003445 IL
Physical Therapist 225100000X 070026502 IL Primary

Addresses

Primary practice location

1979 McDowell Rd Ste 111
Naperville, IL 60563

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

315 E Northwest Hwy
Palatine, IL 60067-8116
Phone (847) 701-1930

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zullman18@apu.edu

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220404000764 IL Practitioner - Physical Therapist in Private Practice 3779979547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

1979 McDowell Rd
Suite 111
Naperville, IL 60563
Phone (630) 592-0110

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096003445ILMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 7, 2022 Accepting new patients

Locations

3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600

10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200

1979 Mc Dowell Rd
Ste 111
Naperville, IL 60563
Phone (630) 592-0110

235 W Northwest Hwy
Palatine, IL 60067
Phone (847) 701-1930

315 E Northwest Hwy
Palatine, IL 60067
Phone (847) 701-1930

9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

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.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1346862430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 MCDOWELL RD STE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60563",
            "telephone_number": "630-895-4030",
            "fax_number": "630-895-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 E Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Palatine",
            "state": "IL",
            "postal_code": "600678116",
            "country_code": "US",
            "telephone_number": "847-701-1930",
            "fax_number": "847-701-1931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IL",
            "license": "096003445",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070026502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zullman18@apu.edu",
            "affiliation": "N",
            "address_1": "901 E Alosta Ave",
            "city": "Azusa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917022701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.