Zachary J Eagle, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-8244 Issued in ID

Practice address

2009 S Main St
Moscow, ID 83843-8913

Phone

(208) 618-8430

NPI assigned

Jun 2, 2022

Last updated

Jun 2, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sonny Physical Therapy LLCGroup PAC ID 0345512596, 16 clinicians

Summit Rehabilitation Associates, PLLCGroup PAC ID 8325937642, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sonny Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hayden, ID
  • NPI 1992235816

  Physical Therapist, WA

  Medicare reassignment Care Compare group NPD
• Summit Rehabilitation Associates, PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1467571513
  Medicare reassignment Care Compare group NPD
• BK Inc.

  dba Moscow Mountain Sport and Physical Therapy

  • Physical Therapy Clinic/Center
  • Moscow, ID
  • NPI 1659429405
  Medicare reassignment NPD
• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1841939220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 NW HOQUIAM CT",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078154",
            "telephone_number": "360-852-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 S MAIN ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838438913",
            "telephone_number": "208-618-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "ZACHARY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-8244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Drenker, PHARMD
• Milee Druffel, LPCI
• Amy Elizabeth Dudley
• Tiffany Duman, RDN, LD
• Moriah Eagle
• Dean Easton, M.D.
• Laurie Susanne Edinger, FNP
• Educational and Psychological Services, a P.L.L.C.
• Amanda Irma Egland, LPC
• Jadelyn Taylor Eisele

• Physical Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.