Zachary Drevlow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2299 Issued in ND

Practice address

1000 W Century Ave
Bismarck, ND 58503-0913

Phone

(701) 355-1295

Fax

(701) 323-7046

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gillette Physical Therapy PCGroup PAC ID 0345282570, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.54 of 100Reported as individual

Quality

83.09

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gillette Physical Therapy PC

  • Physical Therapist
  • Gillette, WY
  • NPI 1154379998

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1447869193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 1ST ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543121",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CENTURY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030913",
            "telephone_number": "701-355-1295",
            "fax_number": "701-323-7046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "606 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585543121",
            "country_code": "US",
            "telephone_number": "701-667-0745",
            "fax_number": "701-667-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Steele",
            "state": "ND",
            "postal_code": "584827329",
            "country_code": "US",
            "telephone_number": "701-202-3280",
            "fax_number": "701-475-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DREVLOW",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.