Zachary Thomas Kauffman, PT
Individual provider Active NPI Physical Therapist · Selbyville, DE
NPI 1861129199 · NPPES record last updated Dec 9, 2024
Key facts
- NPI
- 1861129199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J1-0014840 (DE)
- Practice address
- 37464 Lion Drive
Ste 4
Selbyville, DE 19975 - Phone
- (302) 988-1586
- NPI assigned
- Aug 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ati Holdings, LLC
Dynamic Therapy Services LLC
Practice addresses (Care Compare)
213 Greenhill Ave
Suite C
Wilmington, DE 19805-1800
Phone (302) 658-7800
37464 Lion Dr
Suite 4
Selbyville, DE 19975-3879
Phone (302) 988-1586
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404001688 | DE | Practitioner - Physical Therapist in Private Practice | 8628434586 | Reassigns benefits to 4 organizations |
| I20240912000435 | TX | Practitioner - Physical Therapist in Private Practice | 8628434586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current |
Accepting new patients |
| Dynamic Therapy Services, LLC | Single Specialty | Current |
Accepting new patients |
| Dynamic Therapy Services LLC | Single Specialty | Current |
Accepting new patients |
| Ati Holdings, LLC | Single Specialty | Current |
Accepting new patients |
| The Fort Defiance Indian Hospital Board, Incorporation | Single Specialty | Current |
Accepting new patients |
| Benchmark Physical Therapy of Delaware LLC | Single Specialty | Current |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
28263 Lexus Dr
Unit 12
Milford, DE 19963
Phone (302) 503-7607
30166 Commerce Dr
Millsboro, DE 19966
Phone (302) 663-9890
37464 Lion Dr
Unit 4
Selbyville, DE 19975
Phone (302) 988-1586
213 Greenhill Ave
Ste C
Wilmington, DE 19805
Phone (302) 658-7800
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | PT030644 | PA | |
| Physical Therapist | 225100000X | J1-0014840 | DE | Yes |
Addresses
Primary practice location
37464 Lion Drive
Ste 4
Selbyville, DE 19975
Mailing address
3403 Tilden St
Philadelphia, PA 19129-1434
Phone (856) 725-7936
Other practice location 1
2401 Pennsylvania Ave Ste 1D5
Philadelphia, PA 19130-3000
Phone (215) 236-3700
Other providers in Selbyville, DE
- James K Kramer DMD PA
- Colleen Jones
- Sarah Joyce
- Marie Karitis-Smith
- Marc Kattelman
- Kathy Kay
- Brooke Helen Kessler
- Deena King
- James Kenneth Kramer
- Paul Kramer
All providers in Selbyville, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.