Individual provider Active NPI

Courtney Zamzow, MPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1831344068
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35117 Issued in CA
Practice address
3701 Skypark Dr Ste 235
Torrance, CA 90505
Phone
(310) 791-7980
Fax
(310) 791-7995
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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 PT35117 CA Primary

Addresses

Primary practice location

3701 Skypark Dr Ste 235
Torrance, CA 90505

Mailing address

3701 Skypark Dr Ste 235
Torrance, CA 90505-4753
Phone (310) 791-7980

Other practice location 1

28924 S Western Ave
Suite 101
Rancho Palos Verdes, CA 90275-0885
Phone (310) 548-0104

Other identifiers 2

IdentifierTypeStateIssuer
PT35117OtherCAPT LICENSE
W14553OtherCAMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090220000161 CA Practitioner - Physical Therapist in Private Practice 6103981485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

3701 Skypark Dr
Suite 100
Torrance, CA 90505-4712
Phone (310) 378-2234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
35117CAMDMarriage & Family Therapist
PT35117CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 16, 2024 Accepting new patients
Torrance Health Association Inc CurrentSince Aug 1, 2013 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist PastSince Jul 1, 1999 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

855 Manhattan Beach Blvd
Ste 102
Manhattan Beach, CA 90266
Phone (310) 374-9649

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3701 Skypark Dr
Ste 235
Torrance, CA 90505
Phone (310) 791-7980

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3701 Skypark Dr
Ste 100
Torrance, CA 90505
Phone (310) 378-2234

Organizations & group practices 4

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1831344068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR STE 235",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054753",
            "telephone_number": "310-791-7980",
            "fax_number": "310-791-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SKYPARK DR STE 235",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "310-791-7980",
            "fax_number": "310-791-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28924 S Western Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902750885",
            "country_code": "US",
            "telephone_number": "310-548-0104",
            "fax_number": "310-548-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMZOW",
        "first_name": "COURTNEY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT35117",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "W14553",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.