Individual provider Active NPI

Robert E Zolg, P.T.

  • Physical Therapist
  • Downey, CA
National Provider Identifier
1760518625
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 17092 Issued in CA
Practice address
12555 Lakewood Blvd
Suite D
Downey, CA 90242-2771
Phone
(562) 777-1333
Fax
(562) 777-1347
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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 PT 17092 CA Primary

Addresses

Primary practice location

12555 Lakewood Blvd
Suite D
Downey, CA 90242-2771

Mailing address

200 Newport Center Dr
#213
Newport Beach, CA 92660-7501
Phone (949) 644-1322

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050419001397 CA Practitioner - Physical Therapist in Private Practice 5991743072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Southern California Keck School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Change Sports Physical Therapy InstituteGroup PAC ID 5395870786, 4 clinicians

Practice addresses (Care Compare)

7172 Edinger Ave
Huntington Beach, CA 92647-3505
Phone (714) 902-9349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 17092CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehab & Sports Therapy CurrentSince Jan 1, 2005 Accepting new patients
Change Sports Physical Therapy Institute Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients
Physical RX Physical Therapy, Inc. Physical Therapist CurrentSince Dec 13, 2023 Accepting new patients
Select CS Physical Therapy, P.C. Physical Therapist Past Accepting new patients
Orthopaedic and Spine Care Physical Therapy a Professional Corporation Physical Therapist PastSince Aug 1, 2025 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333

7172 Edinger Ave
Huntington Beach, CA 92647
Phone (714) 902-9349

6082 Edinger Ave
Ste 100
Huntington Beach, CA 92647
Phone (714) 840-1505

2130 Main St
Ste 140
Huntington Beach, CA 92648
Phone (714) 374-0233

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1760518625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR",
            "address_2": "#213",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607501",
            "telephone_number": "949-644-1322",
            "fax_number": "949-644-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 LAKEWOOD BLVD",
            "address_2": "SUITE D",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422771",
            "telephone_number": "562-777-1333",
            "fax_number": "562-777-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLG",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 17092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.