Individual provider Active NPI

Zackery Wroniuk-Evans, DPT

  • Physical Therapist
  • Swedesboro, NJ
National Provider Identifier
1508502352
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02262800 Issued in NJ
Practice address
520 Beckett Rd Ste 200
Swedesboro, NJ 08085
Phone
(856) 467-3421
NPI assigned
May 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38415 FL
Physical Therapist 225100000X 40QA02262800 NJ Primary

Addresses

Primary practice location

520 Beckett Rd Ste 200
Swedesboro, NJ 08085

Mailing address

55 Margarete Dr
Pittsgrove, NJ 08318-3015
Phone (856) 776-1039

Other practice location 1

9960 Estero Oaks Dr Apt 213
Fort Myers, FL 33967-5311
Phone (856) 776-1039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231010000297 FL Practitioner - Physical Therapist in Private Practice 1052766128
I20240828004539 NJ Practitioner - Physical Therapist in Private Practice 1052766128 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy and Fitness, PLLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Evans PT and Performance LLC Zackery Wroniuk-Evans Sole MBR Current Accepting new patients
Rehabclinics SPT Inc. CurrentSince Sep 1, 2024 Accepting new patients
Fyzbiz, LLC Physical Therapist PastSince Aug 1, 2022 Accepting new patients
Rehabclinics SPT Inc PastSince Aug 4, 2024 Accepting new patients
Physionetics LLC Physical Therapist PastSince Oct 2, 2023 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist PastSince May 1, 2022 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 4
Naples, FL 34109
Phone (239) 438-1194

2144 US Highway 130
Ste 12
Bordentown, NJ 08505
Phone (609) 324-9320

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

520 Beckett Rd
Ste 200
Swedesboro, NJ 08085
Phone (856) 467-3421

Organizations & group practices 8

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": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1508502352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MARGARETE DR",
            "city": "PITTSGROVE",
            "state": "NJ",
            "postal_code": "083183015",
            "telephone_number": "856-776-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BECKETT RD STE 200",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "856-467-3421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9960 Estero Oaks Dr Apt 213",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339675311",
            "country_code": "US",
            "telephone_number": "856-776-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRONIUK-EVANS",
        "first_name": "ZACKERY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38415",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02262800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.