Zachary Rosado, DPT
Individual provider Active NPI Physical Therapist · Chittenango, NY
NPI 1497517890 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1497517890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1398 State Route 5
Chittenango, NY 13037-8763 - Phone
- (315) 510-3372
- Fax
- (315) 510-3688
- NPI assigned
- Jan 30, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports Physical Therapy of New York, P.C.
Practice addresses (Care Compare)
240 W Seneca St
Suite 12
Manlius, NY 13104-2422
Phone (315) 682-0325
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250714000325 | NY | Practitioner - Physical Therapist in Private Practice | 0345755005 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Current |
Accepting new patients |
| Encompass Health Rehabilitation Hospital of Florence, Inc. | Past | Accepting new patients |
Locations
703 Granite St
Ste 3
Braintree, MA 02184
285 Delaware Ave
Ste 116
Buffalo, NY 14202
Phone (716) 381-8214
1398 State Route 5
Chittenango, NY 13037
Phone (315) 510-3372
240 W Seneca St
Ste 12
Manlius, NY 13104
Phone (315) 256-0490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1398 State Route 5
Chittenango, NY 13037-8763
Mailing address
1398 State Route 5
Chittenango, NY 13037-8763
Phone (315) 510-3372
NPI Registry JSON
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1497517890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1398 STATE ROUTE 5",
"city": "CHITTENANGO",
"state": "NY",
"postal_code": "130378763",
"telephone_number": "315-510-3372",
"fax_number": "315-510-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1398 STATE ROUTE 5",
"city": "CHITTENANGO",
"state": "NY",
"postal_code": "130378763",
"telephone_number": "315-510-3372",
"fax_number": "315-510-3688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSADO",
"first_name": "ZACHARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chittenango, NY
- Heidi S Puc
- Theresa A Richardson
- Rite Aid of New York Inc
- Hanna Rogers
- Rajoana Rojony
- Laura Sanfilippo
- Sarah Scholes M Sarah Scholes
- Sharon Schlueter
- Alyssa Christine Shute
- Hannah Sidebottom
All providers in Chittenango, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.