Active NPI
Marley C Zachmann, DPT
- Physical Therapist
- Bismarck, ND
National Provider Identifier
1477964377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1749
- Practice address
- 4204 Boulder Ridge Road, Suite 100
Bismarck, ND 58503 - Phone
- (701) 751-3064
- Fax
- (701) 751-2265
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 425-11 | ND | |
| Physical Therapist | 225100000X | 1749 | ND | Primary |
Addresses
Primary practice location
4204 Boulder Ridge Road, Suite 100
Bismarck, ND 58503
Mailing address
4204 Boulder Ridge Road, Suite 100
Bismarck, ND 58503-6162
Phone (701) 751-3064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1040 Canada Ave
Suite 1
Bismarck, ND 58503-1813
Phone (701) 751-3064
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.15 of 100
- Quality
- 80.27
- Improvement activities
- 40
- Cost
- 76.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1749 | ND | MD | Addiction (Substance Use Disorder) Counselor |
| 425-11 | ND | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracie M Mallberg MD PC | Past | Accepting new patients | |
| Apex Physical Therapy and Wellness Center, PC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Bismarck, ND
- NPI 1679010953
-
- Physical Therapy Clinic/Center
- West Fargo, ND
- NPI 1417109059
Physical Therapist
-
- Primary Care Clinic/Center
- West Fargo, ND
- NPI 1023282969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1477964377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 BOULDER RIDGE ROAD, SUITE 100",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585036162",
"telephone_number": "701-751-3064",
"fax_number": "701-751-2265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 BOULDER RIDGE ROAD, SUITE 100",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58503",
"telephone_number": "701-751-3064",
"fax_number": "701-751-2265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHMANN",
"first_name": "MARLEY",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "ND",
"license": "425-11",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ND",
"license": "1749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.