Active NPI
Zachary Higgins
- Physical Therapist
- Smyrna, DE
National Provider Identifier
1750965273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J1-0014370
- Practice address
- 33 Deak Dr
Smyrna, DE 19977-1268 - Phone
- (302) 659-5700
- NPI assigned
- May 11, 2021
- 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 | J1-0014370 | DE | Primary |
Addresses
Primary practice location
33 Deak Dr
Smyrna, DE 19977-1268
Mailing address
14205 Park Center Dr Ste 204
Laurel, MD 20707-5252
Phone (301) 853-0093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
Practice addresses (Care Compare)
7140 Germantown Ave
Philadelphia, PA 19119-1843
Phone (215) 753-8910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0014370 | DE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitlife Fitness & Aquatics, Incorporated | Physical Therapist | Current | Accepting new patients |
Locations
7140 Germantown Ave
Philadelphia, PA 19119
Phone (215) 753-8910
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Philadelphia, PA
- NPI 1124105473
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1750965273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 PARK CENTER DR STE 204",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075252",
"telephone_number": "301-853-0093",
"fax_number": "301-853-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 DEAK DR",
"city": "SMYRNA",
"state": "DE",
"postal_code": "199771268",
"telephone_number": "302-659-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "ZACHARY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2022-12-16",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0014370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.