Individual provider Active NPI

Zachary Nathaniel Henry

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1730707969
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1330791 Issued in TX
Practice address
2720 Western Center Blvd Ste 312
Fort Worth, TX 76131-4302
Phone
(817) 847-0200
NPI assigned
Jul 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 1330791 TX Primary

Addresses

Primary practice location

2720 Western Center Blvd Ste 312
Fort Worth, TX 76131-4302

Mailing address

1108 7TH Ave Apt 226
Fort Worth, TX 76104-4397
Phone (915) 471-4543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200930001595 TX Practitioner - Physical Therapist in Private Practice 3173942802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

5632 Edwards Ranch Rd
Suite 110 Fort Worth Physical Therapy
Ft Worth, TX 76109-4102
Phone (817) 259-0600

Merit-based Incentive Payment System (MIPS)

Final score
74.64 of 100Reported as group
Quality
46.1
Promoting interoperability
92
Improvement activities
40
Cost
76.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy TX LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients

Locations

24014 W Renwick Rd
Ste 206
Plainfield, IL 60544

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6407 Southwest Blvd
Benbrook, TX 76132
Phone (817) 423-5611

5718 Spohn Dr
Ste 200
Corpus Christi, TX 78414
Phone (361) 906-2062

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

5060 Davis Blvd
North Richlnd Hls, TX 76180
Phone (817) 385-7102

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

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.

NPI Registry JSON

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1730707969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 7TH AVE APT 226",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044397",
            "telephone_number": "915-471-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 WESTERN CENTER BLVD STE 312",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761314302",
            "telephone_number": "817-847-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "ZACHARY",
        "middle_name": "NATHANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1330791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.