Patrick J Zak, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

557 Issued in ID

Practice address

319 Deinhard LN
McCall, ID 83638-4703

Phone

(208) 634-8517

Fax

(208) 292-2817

NPI assigned

Nov 10, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro-Active Physical Therapy of McCall, PAGroup PAC ID 7719986827, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• Pro-Active Physical Therapy of McCall, PA

  • Physical Therapist
  • McCall, ID
  • NPI 1295847242
  Medicare reassignment Care Compare group NPD Authorized official
• Proactive Physical Therapy of McCall, PA

  • Physical Therapist
  • Council, ID
  • NPI 1336315175
  NPD
• Family Eye Center PA

  dba Family Eye Center

  • Optometrist
  • Ontario, OR
  • NPI 1477704310
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1649341967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 RIO VISTA BLVD",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384302",
            "telephone_number": "208-634-8517",
            "fax_number": "208-634-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 DEINHARD LN",
            "city": "MCCALL",
            "state": "ID",
            "postal_code": "836384703",
            "telephone_number": "208-634-8517",
            "fax_number": "208-292-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411A Deinhard Ln",
            "address_purpose": "LOCATION",
            "city": "McCall",
            "state": "ID",
            "postal_code": "836384800",
            "country_code": "US",
            "telephone_number": "208-634-8517",
            "fax_number": "208-634-5763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 S 3rd St Ste C",
            "address_purpose": "LOCATION",
            "city": "McCall",
            "state": "ID",
            "postal_code": "83638",
            "country_code": "US",
            "telephone_number": "208-634-8517",
            "fax_number": "208-634-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAK",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805164900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patty H Wold, LMSW
• Heidi Jo Wyman, DPT, OCS
• Debra Anne Yaritz I, D.C.
• Debra Ann Jones Yensen, ATR, LCPC
• David Ryan York, DPT

• Physical Therapist in McCall, ID
• Providers in McCall, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.