Individual provider Active NPI

Zachary Crochet, PT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1619525110
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1319046 Issued in TX
Practice address
15200 Southwest Fwy Ste 130
Sugar Land, TX 77478-3863
Phone
(281) 313-0090
Fax
(866) 912-7672
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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 1319046 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 130
Sugar Land, TX 77478-3863

Mailing address

8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211001000745 LA Practitioner - Physical Therapist in Private Practice 3577894740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lewy Physical Therapy Inc Physical Therapist CurrentSince Jun 29, 2021 Accepting new patients
BRPT-Lake Rehabilitation Centers, LLC Past Accepting new patients

Locations

8448 Siegen Ln
Baton Rouge, LA 70810
Phone (225) 757-0164

Organizations & group practices 2

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1619525110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8448 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101938",
            "telephone_number": "225-767-8182",
            "fax_number": "225-767-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 130",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783863",
            "telephone_number": "281-313-0090",
            "fax_number": "866-912-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCHET",
        "first_name": "ZACHARY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1319046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.