Wade Randall Zinn, P.T,

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005860 Issued in WA

Practice address

19611 7TH Ave NE
Suite 200
Poulsbo, WA 98370-7384

Phone

(360) 697-7710

Fax

(360) 779-3829

NPI assigned

Oct 25, 2006

Last updated

Jul 9, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.1 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

87.02

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zinn Ventures, Inc.

  dba Wade Zinn Physical Therapy

  • Physical Therapist
  • Poulsbo, WA
  • NPI 1922178961
  Medicare reassignment NPD Authorized official
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629152442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19611 7TH AVE NE",
            "address_2": "SUITE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707384",
            "telephone_number": "360-697-7710",
            "fax_number": "360-779-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19611 7TH AVE NE",
            "address_2": "SUITE 200",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707384",
            "telephone_number": "360-697-7710",
            "fax_number": "360-779-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINN",
        "first_name": "WADE",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "P.T,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7074917",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8346520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary D Miller DDS PLLC (Finn Hill Dental)
• Reid Zeller, MA, LMHC
• Olga Zhirnova
• Zinn Ventures, Inc. (Wade Zinn Physical Therapy)
• Kristin M Zinn, MS, PT
• Lisa Zukowsky, NTP

• Physical Therapist in Poulsbo, WA
• Providers in Poulsbo, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.