Individual provider Active NPI

Zackary T Hill, DPT

  • Physical Therapist
  • Lees Summit, MO
National Provider Identifier
1861686792
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2007022416 Issued in MO
Practice address
1321 SW Market St
Lees Summit, MO 64081-2904
Phone
(816) 607-7180
Fax
(816) 607-7181
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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 2007022416 MO Primary

Addresses

Primary practice location

1321 SW Market St
Lees Summit, MO 64081-2904

Mailing address

1321 SW Market St
Lees Summit, MO 64081-2904
Phone (816) 607-7180

Other identifiers 4

IdentifierTypeStateIssuer
2007022416OtherMOLICENSE
1538431333OtherGROUP NPI
1861686792OtherMOINDIVIDUAL NPI
MA4008OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080827000544 MO Practitioner - Physical Therapist in Private Practice 2062588098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Pro-Motion Physical Therapy, LLCGroup PAC ID 1153582416, 9 clinicians

Practice addresses (Care Compare)

1321 SW Market St
Lees Summit, MO 64081-2904
Phone (816) 607-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007022416MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Pro-Motion Physical Therapy, LLC Physical Therapist CurrentSince Feb 8, 2012 Accepting new patients
Boost Sports Performance, LLC PastSince Oct 16, 2021 Accepting new patients
Hill Pro-Motion Physical Therapy Physical Therapist Past Accepting new patients

Locations

701 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 607-7180

1321 SW Market St
Lees Summit, MO 64081
Phone (816) 607-7180

721 NE Lakewood Blvd
Lees Summit, MO 64064
Phone (816) 373-0300

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1861686792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812904",
            "telephone_number": "816-607-7180",
            "fax_number": "816-607-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812904",
            "telephone_number": "816-607-7180",
            "fax_number": "816-607-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ZACKARY",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2007022416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2007022416",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1538431333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1861686792",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA4008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.