Individual provider Active NPI

Zachary Alexdander Thompson, DPT

  • Physical Therapist
  • Wilmington, OH
National Provider Identifier
1407340516
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017526 Issued in OH
Practice address
720 Elm St Ste C
Wilmington, OH 45177-2878
Phone
(937) 283-2186
Fax
(937) 283-2187
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 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 PT017526 OH Primary

Addresses

Primary practice location

720 Elm St Ste C
Wilmington, OH 45177-2878

Mailing address

5963 Kentshire Dr Ste B
Kettering, OH 45440-4253
Phone (937) 813-8052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703002316 OH Practitioner - Physical Therapist in Private Practice 0143576280 Reassigns benefits to 2 organizations

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
Drayer Physical Therapy Northern Ohio LLCGroup PAC ID 7315179561, 50 clinicians

Practice addresses (Care Compare)

108 Barrington Town Square Dr
Aurora, OH 44202-7792
Phone (330) 562-1655

980 W Central Ave
Suite B
Delaware, OH 43015-2392
Phone (740) 651-2318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017526OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 27, 2018 Accepting new patients
Drayer Physical Therapy Northern Ohio LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Drayer Physical Therapy LLC Physical Therapist CurrentSince Jun 27, 2018 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

108 Barrington Town Square Dr
Aurora, OH 44202
Phone (330) 562-1655

463 Ohio Pike
Ste 203
Cincinnati, OH 45255
Phone (513) 247-4340

5963 Kentshire Dr
#B
Dayton, OH 45440

980 W Central Ave
Ste B
Delaware, OH 43015
Phone (740) 651-2318

720 Elm St
Ste C
Wilmington, OH 45177
Phone (937) 283-2186

Organizations & group practices 3

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529539200000",
    "number": "1407340516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5963 KENTSHIRE DR STE B",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404253",
            "telephone_number": "937-813-8052",
            "fax_number": "937-813-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ELM ST STE C",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772878",
            "telephone_number": "937-283-2186",
            "fax_number": "937-283-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ZACHARY",
        "middle_name": "ALEXDANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT017526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.