Individual provider Active NPI

Zac Packer, PT, DPT

  • Physical Therapist
  • Castle Rock, CO
National Provider Identifier
1497546949
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009025 Issued in KY
Practice address
4625 Trail Boss Dr Ste F
Castle Rock, CO 80104-2803
Phone
(208) 243-4832
NPI assigned
May 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 009025 KY Primary

Addresses

Primary practice location

4625 Trail Boss Dr Ste F
Castle Rock, CO 80104-2803

Mailing address

4625 Trail Boss Dr Ste F
Castle Rock, CO 80104-2803
Phone (208) 243-4832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009025KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Packer Neurodiagnostics, LLC Physical Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

4625 Trail Boss Dr
Ste F
Castle Rock, CO 80104
Phone (208) 243-4832

Organizations & group practices 1

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": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1497546949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 TRAIL BOSS DR STE F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042803",
            "telephone_number": "208-243-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 TRAIL BOSS DR STE F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042803",
            "telephone_number": "208-243-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "ZAC",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.