Individual provider Active NPI

Clinton Zollinger, MPT

  • Physical Therapist
  • Gilroy, CA
National Provider Identifier
1487726600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25485 Issued in CA
Practice address
9460 N Name Uno
140
Gilroy, CA 95020-3537
Phone
(408) 847-0107
Fax
(408) 847-2112
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 25485 CA Primary

Addresses

Primary practice location

9460 N Name Uno
140
Gilroy, CA 95020-3537

Mailing address

9460 N Name Uno
140
Gilroy, CA 95020-3537
Phone (408) 847-0107

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000243 CA Practitioner - Physical Therapist in Private Practice 4587749643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zollinger Physical TherapyGroup PAC ID 3577547330, 6 clinicians

Practice addresses (Care Compare)

1710 Memorial Dr
Suite a
Hollister, CA 95023-5700
Phone (831) 637-8108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25485CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Zollinger Physical Therapy Physical Therapist CurrentSince Jan 1, 2007 Accepting new patients
Zollinger Physical Therapy Physical Therapist CurrentSince Jan 1, 2008 Accepting new patients
Fritter, Schulz & Conlan Physical & Occupational Therapy Physical Therapist PastSince Jan 1, 2008 Accepting new patients

Locations

9460 No Name Uno
Ste 140
Gilroy, CA 95020
Phone (408) 847-0107

8000 Santa Teresa Blvd
Ste 110
Gilroy, CA 95020
Phone (408) 847-0107

1710 Memorial Dr
Ste A
Hollister, CA 95023
Phone (831) 637-0108

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487726600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "address_2": "140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-847-0107",
            "fax_number": "408-847-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 N NAME UNO",
            "address_2": "140",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203537",
            "telephone_number": "408-847-0107",
            "fax_number": "408-847-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLINGER",
        "first_name": "CLINTON",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.