Active NPI
Zachary Sommermeyer, PT, DPT, GCS
- Geriatric Physical Therapist
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 2005004548
- Practice address
- 22 Majestic CT
Fenton, MO 63026-2769 - Phone
- (314) 315-3518
- NPI assigned
- Sep 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 2005004548 | MO | Primary |
Addresses
Primary practice location
22 Majestic CT
Fenton, MO 63026-2769
Mailing address
22 Majestic CT
Fenton, MO 63026-2769
Phone (314) 315-3518
Other practice location 1
65 Briarwood Cir
Worcester, MA 01606-1255
Phone (774) 436-2930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 Lake Bend Dr
Valley Park, MO 63088-2524
Phone (636) 298-1280
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005004548 | MO | MD | Geriatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortlyn Therapy, PC | Geriatrics | Current | Accepting new patients |
| St. Louis Dry Needling and Physical Therapy | Current | Accepting new patients |
Locations
7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 413-5817
65 Briarwood Cir
Worcester, MA 01606
Phone (413) 304-2747
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.
-
dba Symbria Outpatient Services
- Physical Therapist
- Cincinnati, OH
- NPI 1235725730
Geriatrics, MA, MO
-
- Physical Therapy Clinic/Center
- Fenton, MO
- NPI 1952293458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1669088787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MAJESTIC CT",
"city": "FENTON",
"state": "MO",
"postal_code": "630262769",
"telephone_number": "314-315-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MAJESTIC CT",
"city": "FENTON",
"state": "MO",
"postal_code": "630262769",
"telephone_number": "314-315-3518"
}
],
"practiceLocations": [
{
"address_1": "65 Briarwood Cir",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016061255",
"country_code": "US",
"telephone_number": "774-436-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMMERMEYER",
"first_name": "ZACHARY",
"name_prefix": "Dr.",
"credential": "PT, DPT, GCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-23",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "MO",
"license": "2005004548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
- 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.