Individual provider Active NPI

Zachary M. Kinscherf, PT

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1730512294
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.020037 Issued in IL
Practice address
804 State St
#5
Quincy, IL 62301-4968
Phone
(217) 224-1750
Fax
(217) 224-0403
NPI assigned
Aug 19, 2013
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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 070.020037 IL Primary

Addresses

Primary practice location

804 State St
#5
Quincy, IL 62301-4968

Mailing address

804 State St
#5
Quincy, IL 62301-4968
Phone (217) 224-1750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808003731 IL Practitioner - Physical Therapist in Private Practice 5193073054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

927 Broadway St
Suite 100
Quincy, IL 62301-2728
Phone (217) 222-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.020037ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Jul 11, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist CurrentSince Jul 11, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC Physical Therapist CurrentSince Jul 11, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC CurrentSince Jul 11, 2018 Accepting new patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Jul 11, 2018 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Past Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

1089 Jason Pl
Chatham, IL 62629
Phone (217) 483-5858

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

927 Broadway St
Ste 100
Quincy, IL 62301
Phone (217) 222-9300

160 Progress Rd
#111
Hannibal, MO 63401

Organizations & group practices 7

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": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1730512294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 STATE ST",
            "address_2": "#5",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014968",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 STATE ST",
            "address_2": "#5",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014968",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSCHERF",
        "first_name": "ZACHARY",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.020037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.