Individual provider Active NPI

Zachary Fellows

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1609611532
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP044824T Issued in CO
Practice address
11 W Dry Creek CT
Littleton, CO 80120-4484
Phone
(303) 222-4312
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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 LPT-033622 AZ
Physical Therapist 225100000X CP044824T CO Primary

Addresses

Primary practice location

11 W Dry Creek CT
Littleton, CO 80120-4484

Mailing address

8021 W Robin LN
Peoria, AZ 85383-2104

Other practice location 1

3905 SW 117th Ave Ste A
Beaverton, OR 97005-8905
Phone (971) 249-3168

Other practice location 2

2424 N Wyatt Dr Ste 130
Tucson, AZ 85712-6102
Phone (520) 784-6570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911004230 AZ Practitioner - Physical Therapist in Private Practice 6608316054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP044824TCOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 8, 2024 Accepting new patients
Ultra Physical Therapy & Hand Center, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physical Therapist CurrentSince Sep 8, 2024 Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

2424 N Wyatt Dr
Ste 130
Tucson, AZ 85712
Phone (520) 784-6570

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

3905 SW 117th Ave
Ste A
Beaverton, OR 97005
Phone (503) 662-6403

Organizations & group practices 4

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1609611532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 W ROBIN LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W DRY CREEK CT",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204484",
            "telephone_number": "303-222-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3905 SW 117th Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970058905",
            "country_code": "US",
            "telephone_number": "971-249-3168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 N Wyatt Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857126102",
            "country_code": "US",
            "telephone_number": "520-784-6570",
            "fax_number": "520-784-6575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-033622",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP044824T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.