Individual provider Active NPI

Zachary Jonas Schall, DPT

  • Physical Therapist
  • Denton, MD
National Provider Identifier
1346915170
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28570 Issued in MD
Practice address
103 S 7TH St
Denton, MD 21629-1318
Phone
(410) 479-0470
Fax
(410) 479-0526
NPI assigned
Aug 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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 28570 MD Primary

Addresses

Primary practice location

103 S 7TH St
Denton, MD 21629-1318

Mailing address

25324 Sunset Ave
Greensboro, MD 21639
Phone (410) 479-0470

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211202000109 MD Practitioner - Physical Therapist in Private Practice 1456758507 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
Advantage Rehab, Inc.Group PAC ID 7911189386, 3 clinicians

Practice addresses (Care Compare)

103 S 7TH St
Denton, MD 21629-1318
Phone (667) 467-5026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Rehab, Inc. Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients
Advantage Rehab, Inc. Physical Therapist CurrentSince Aug 9, 2021 Accepting new patients

Locations

103 S 7th St
Denton, MD 21629
Phone (410) 479-0470

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": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1346915170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25324 SUNSET AVE",
            "city": "GREENSBORO",
            "state": "MD",
            "postal_code": "21639",
            "telephone_number": "410-479-0470",
            "fax_number": "410-479-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S 7TH ST",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216291318",
            "telephone_number": "410-479-0470",
            "fax_number": "410-479-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHALL",
        "first_name": "ZACHARY",
        "middle_name": "JONAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.