NPIMap

Organization Active NPI

Zoom Rehabilitation,Inc

Doing business as Zoom Physical Therapy and Wellness

  • Rehabilitation Clinic/Center
  • Port Lavaca, TX
National Provider Identifier
1639669799
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ZOOM REHABILITATION,INC
Doing business as
Zoom Physical Therapy and Wellness
Practice address
300 N Virginia St
Port Lavaca, TX 77979-3449
Phone
(361) 552-5400
Fax
(361) 552-5406
NPI assigned
May 15, 2018
Organization subpart
Yes
Parent organization
ZOOM REHABILITATION,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Chris Stefka, BS,PTA
Title
Administrator
Phone
(361) 582-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X TX Primary

Addresses

Primary practice location

300 N Virginia St
Port Lavaca, TX 77979-3449

Mailing address

9606 NE Zac Lentz Pkwy
Victoria, TX 77904-3115
Phone (361) 582-2110

Other names 1

  • Zoom Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Zoom Rehabilitation Inc2 organizations share this tax ID, including this one
Part of
Zoom Rehabilitation Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9606 NE Zac Lentz Pkwy
Victoria, TX 77904
Phone (361) 582-2100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1639669799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 NE ZAC LENTZ PKWY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043115",
            "telephone_number": "361-582-2110",
            "fax_number": "361-541-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793449",
            "telephone_number": "361-552-5400",
            "fax_number": "361-552-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOM REHABILITATION,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZOOM REHABILITATION,INC",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "STEFKA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-582-2110",
        "authorized_official_credential": "BS,PTA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoom Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Lavaca, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.