Individual provider Active NPI

Lucas Donald Zastrow, PT, DPT, OCS

  • Orthopedic Physical Therapist
  • Lewis Center, OH
National Provider Identifier
1861165250
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT018012 Issued in OH
Practice address
7844 Green Meadows Drive
Lewis Center, OH 43035-9444
Phone
(740) 549-7041
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT018012 OH Primary

Addresses

Primary practice location

7844 Green Meadows Drive
Lewis Center, OH 43035-9444

Mailing address

1502 Worthington Park Blvd
Westerville, OH 43081-5405
Phone (419) 346-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT018012OHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Advantage, Inc Orthopedic CurrentSince Aug 1, 2021 Accepting new patients

Locations

7844 Green Meadows Dr
Lewis Center, OH 43035
Phone (740) 549-7041

Organizations & group practices 1

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": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1861165250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 WORTHINGTON PARK BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430815405",
            "telephone_number": "419-346-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7844 GREEN MEADOWS DRIVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359444",
            "telephone_number": "740-549-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASTROW",
        "first_name": "LUCAS",
        "middle_name": "DONALD",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT018012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.