Individual provider Active NPI

Zachary Mease, DPT

  • Physical Therapist
  • Wilmington, DE
National Provider Identifier
1720507015
Registry record updated Feb 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014291 Issued in DE
Practice address
3219 Crystal CT
Wilmington, DE 19810-2256
Phone
(302) 602-1646
NPI assigned
Sep 18, 2017
Last updated
Feb 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2022

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 J1-0014291 DE Primary

Addresses

Primary practice location

3219 Crystal CT
Wilmington, DE 19810-2256

Mailing address

3219 Crystal CT
Wilmington, DE 19810-2256
Phone (302) 602-1646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314000713 DE Practitioner - Physical Therapist in Private Practice 3678826849 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014291DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Port Imperial Therapy Group LLC Physical Therapist PastSince May 15, 2018 Accepting new patients

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": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645228800000",
    "number": "1720507015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CRYSTAL CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102256",
            "telephone_number": "302-602-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 CRYSTAL CT",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198102256",
            "telephone_number": "302-602-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEASE",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-02-19",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.