Individual provider Active NPI

Zachary Joseph Kaminski, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1679002505
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26502 Issued in MD
Practice address
710 S Ann St FL 2
Baltimore, MD 21231-3401
Phone
(410) 989-3833
NPI assigned
Jun 5, 2017
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26502 MD Primary

Addresses

Primary practice location

710 S Ann St FL 2
Baltimore, MD 21231-3401

Mailing address

2240 Greenspring Dr
Timonium, MD 21093-3114
Phone (410) 989-3833

Other practice location 1

1401 Conowingo Rd Ste C
Bel Air, MD 21014-1809
Phone (410) 420-2257

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629001592 MD Practitioner - Physical Therapist in Private Practice 3678842960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
True Sports Physical Therapy, LLCGroup PAC ID 5496975849, 60 clinicians

Practice addresses (Care Compare)

710 S Ann St
FL 2
Baltimore, MD 21231-3401
Phone (667) 401-8847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26502MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
True Sports Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
True Sports Physical Therapy 2, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

710 S Ann St
Fl 2
Baltimore, MD 21231
Phone (667) 401-8847

2240 Greenspring Dr
Timonium, MD 21093
Phone 4109893833 ext. 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1679002505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 GREENSPRING DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210933114",
            "telephone_number": "410-989-3833",
            "fax_number": "410-793-4579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S ANN ST FL 2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212313401",
            "telephone_number": "410-989-3833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Conowingo Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210141809",
            "country_code": "US",
            "telephone_number": "410-420-2257",
            "fax_number": "410-420-2267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "ZACHARY",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.