Individual provider Active NPI

Zachary S Mitchell, PT, DPT

  • Orthopedic Physical Therapist
  • Lutherville Timonium, MD
National Provider Identifier
1750862835
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
27133 Issued in MD
Practice address
29 Greenmeadow Dr
Lutherville Timonium, MD 21093-3256
Phone
(240) 446-2591
NPI assigned
Aug 27, 2018
Last updated
Jan 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 27133 MD Primary

Addresses

Primary practice location

29 Greenmeadow Dr
Lutherville Timonium, MD 21093-3256

Mailing address

9 Northwood Dr
Timonium, MD 21093-4217

Other practice location 1

1500 Serpentine Rd Ste 110
Baltimore, MD 21209-2033
Phone (443) 841-7027

Other practice location 2

1420 Clarkview Rd
Baltimore, MD 21209-2104
Phone (443) 213-0395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230626000405 MD Practitioner - Physical Therapist in Private Practice 4587908330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29 Greenmeadow Dr
Lutherville Timonium, MD 21093-3256
Phone (240) 446-2591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27133MDMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ez PT Orthopedic CurrentSince Jun 1, 2024 Accepting new patients
Champions Performance Physical Therapy Orthopedic CurrentSince Aug 18, 2018 Accepting new patients

Locations

29 Greenmeadow Dr
Timonium, MD 21093
Phone (240) 446-2591

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1750862835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NORTHWOOD DR",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210934217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GREENMEADOW DR",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210933256",
            "telephone_number": "240-446-2591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Serpentine Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212092033",
            "country_code": "US",
            "telephone_number": "443-841-7027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Clarkview Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212092104",
            "country_code": "US",
            "telephone_number": "443-213-0395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "ZACHARY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "27133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville Timonium, MD

Sources for this page

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