Active NPI
David Dean Van Zant, PT DPT DCS
- Physical Therapist
- Grass Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT28008
- Practice address
- 375 Brunswick Rd Suite 102
900 Whispering Pines Lane
Grass Valley, CA 95945 - Phone
- (530) 272-4284
- Fax
- (530) 272-2990
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT28008 | CA | Primary |
Addresses
Primary practice location
375 Brunswick Rd Suite 102
900 Whispering Pines Lane
Grass Valley, CA 95945
Mailing address
PO Box 209
Applegate, CA 95703
Phone (530) 878-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11990 Heritage Oak PL
Suite 8
Auburn, CA 95603-2405
Phone (530) 823-6835
7200 S Land Park Dr
Suite 300
Sacramento, CA 95831-3670
Phone (916) 391-5010
857 Sutton Way
Grass Valley, CA 95945-5178
Phone (530) 272-4284
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28008 | CA | MD | Clinical Psychologist |
| PT28008 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burger Physical Therapy Services Inc | Current | Accepting new patients | |
| Chapa-de Indian Health Program, Inc. | Current | Accepting new patients | |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Locations
11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800
11990 Heritage Oak Pl
Ste 8
Auburn, CA 95603
Phone (530) 823-6835
1301 E Bidwell St
Ste 201
Folsom, CA 95630
1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545
7200 S Land Park Dr
Ste 300
Sacramento, CA 95831
Phone (916) 391-5010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHHIAD
Organizations & group practices 3
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1356352082
-
- Federally Qualified Health Center (FQHC)
- Auburn, CA
- NPI 1114057163
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710088794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "APPLEGATE",
"state": "CA",
"postal_code": "95703",
"telephone_number": "530-878-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 BRUNSWICK RD SUITE 102",
"address_2": "900 WHISPERING PINES LANE",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-272-4284",
"fax_number": "530-272-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN ZANT",
"first_name": "DAVID",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "PT DPT DCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT28008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.