Active NPI
Zach William Mathis, PT
- Physical Therapist
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH10142
- Practice address
- 1751 Veterans Dr Ste 300
Florence, AL 35630-4930 - Phone
- (256) 764-9304
- Fax
- (256) 764-9343
- NPI assigned
- Dec 30, 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 | PTH10142 | AL | Primary |
Addresses
Primary practice location
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Mailing address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Other practice location 1
104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2100
Phone (256) 764-9304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PTH10142 | Other | AL | LICENSE |
| 260497 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1751 Veterans Dr
Suite 300
Florence, AL 35630-4930
Phone (256) 764-9304
3226 Florence Blvd
Florence, AL 35634-2539
Phone (256) 275-3312
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab and Sports Medicine of the Shoals, Inc | Current | Accepting new patients | |
| Therapy South - Florence LLC | Physical Therapist | Current | Accepting new patients |
Locations
1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200
3226 Florence Blvd
Florence, AL 35634
Phone (256) 275-3312
104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490
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.
-
- Physical Therapy Clinic/Center
- Florence, AL
- NPI 1003809955
-
- Physical Medicine & Rehabilitation Physician
- Florence, AL
- NPI 1275013351
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1356938849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 VETERANS DR STE 300",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356304930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 VETERANS DR STE 300",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356304930",
"telephone_number": "256-764-9304",
"fax_number": "256-764-9343"
}
],
"practiceLocations": [
{
"address_1": "104 Physicians Dr Ste C",
"address_purpose": "LOCATION",
"city": "Muscle Shoals",
"state": "AL",
"postal_code": "356612100",
"country_code": "US",
"telephone_number": "256-764-9304",
"fax_number": "256-764-9343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHIS",
"first_name": "ZACH",
"middle_name": "WILLIAM",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-30",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH10142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PTH10142",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "260497",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.