Zachary James Egolf, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A5117 Issued in MD

Practice address

7200 Third Ave Ste 1000
Sykesville, MD 21784-5205

Phone

(410) 795-8800

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1588124002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 DAVE RILL RD",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742531",
            "telephone_number": "443-974-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 THIRD AVE STE 1000",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217845205",
            "telephone_number": "410-795-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGOLF",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A5117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernette Johnelle Downs, SLP
• Dr Wilbur Kuo & Associates Internal Medicine LLC
• Mary Dregely, RN
• Cortnie Dubinski
• Chelsea Dunn
• Eldersburg Pediatric Dentistry, LLC (Tiny Tooth Pediatric Dentistry)
• Sara Eliason-Cappella, PSYD
• Hollie Burdt Ellis, DDS
• Ema Health Services
• Grace Erb, ADT, LMSW

• Physical Therapy Assistant in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.