Individual provider Active NPI

Zachary Dicks, DPT

  • Physical Therapist
  • Tumwater, WA
National Provider Identifier
1669912309
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60700058 Issued in WA
Practice address
100 Dennis St SW
Suite a
Tumwater, WA 98501-6523
Phone
(360) 704-3300
Fax
(360) 704-7676
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLC 285 clinicians

Practice addresses (Care Compare)

27237 172ND Ave SE
Suite 121
Covington, WA 98042-7352
Phone (253) 216-0468

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000683 WA Practitioner - Physical Therapist in Private Practice 1355627795 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60700058WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Feb 23, 2017 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Feb 23, 2017 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

720 12th St SE
Auburn, WA 98002
Phone (253) 735-3606

27237 172nd Ave SE
Ste 121
Covington, WA 98042
Phone (253) 216-0468

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

4935 Point Fosdick Dr
#F200
Gig Harbor, WA 98335

21806 103rd Avenue Ct E
Ste 103
Graham, WA 98338
Phone (253) 847-3700

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

5605 100th St SW
Ste B
Lakewood, WA 98499
Phone (253) 284-9800

3015 Limited Ln NW
Ste B
Olympia, WA 98502
Phone (360) 709-0700

4703 Pacific Hwy E
#B
Tacoma, WA 98424
Phone (253) 926-8202

15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100

5729 Littlerock Rd SW
Ste 109
Tumwater, WA 98512
Phone (360) 704-3300

100 Dennis St SW
Ste A
Tumwater, WA 98501
Phone (360) 704-3300

3816 Bridgeport Way W
University Place, WA 98466
Phone (253) 203-3996

201 Tahoma Blvd
Unit 207
Yelm, WA 98597
Phone (360) 458-6400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60700058 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Dennis St SW
Suite a
Tumwater, WA 98501-6523

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2017.

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1669912309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DENNIS ST SW",
            "address_2": "SUITE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016523",
            "telephone_number": "360-704-3300",
            "fax_number": "360-704-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKS",
        "first_name": "ZACHARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60700058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.