Individual provider Active NPI

Zachary Zwierz

  • Occupational Therapist
  • Austin, TX
National Provider Identifier
1801496146
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
120974 Issued in TX
Practice address
1033 La Posada Dr Ste 230
Austin, TX 78752-3842
Phone
(512) 284-7192
NPI assigned
Oct 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 120974 TX Primary

Addresses

Primary practice location

1033 La Posada Dr Ste 230
Austin, TX 78752-3842

Mailing address

1033 La Posada Dr Ste 230
Austin, TX 78752-3842
Phone (512) 284-7192

Other identifiers 1

IdentifierTypeStateIssuer
120974OtherTXLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Austin

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230206002328 TX Practitioner - Occupational Therapist in Private Practice 0749652444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational 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)

1033 La Posada Dr
Suite 170
Austin, TX 78752-3842
Phone (512) 284-7192

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

896 Summit St
Suite 102
Round Rock, TX 78664-4370
Phone (512) 599-4262

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

State licenses

LicenseStateTypeSpecialty
120974TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc CurrentSince Sep 22, 2022 Accepting new patients
Endeavor Rehab Center Inc Single Specialty CurrentSince Sep 22, 2022 Accepting new patients
Endeavor Rehab Center Inc Occupational Therapist Past Accepting new patients

Locations

2793 E 7th St
Austin, TX 78702
Phone (512) 201-6683

1033 La Posada Dr
Ste 170
Austin, TX 78752
Phone (512) 284-7192

3809 S 2nd St
Ste D100
Austin, TX 78704
Phone (512) 800-2569

1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192

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

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

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

16020 Park Valley Dr
Round Rock, TX 78681
Phone (512) 244-0766

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1801496146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 LA POSADA DR STE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523842",
            "telephone_number": "512-284-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIERZ",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "120974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "120974",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "1033 La Posada Dr Ste 230",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787523842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.