Organization Active NPI

Zoom Rehabilitation Inc

Doing business as Zoom Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • Victoria, TX
National Provider Identifier
1861805764
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ZOOM REHABILITATION INC
Doing business as
Zoom Physical Therapy and Wellness
Practice address
1101 E Airline Rd
Victoria, TX 77901-4000
Phone
(361) 237-1670
Fax
(361) 237-1703
NPI assigned
Jun 9, 2014
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Chris Stefka
Title
Administrator
Phone
(361) 541-5571

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1101 E Airline Rd
Victoria, TX 77901-4000

Mailing address

1101 E Airline Rd
Victoria, TX 77901-4000
Phone (361) 237-1670

Other practice location 1

300 N Virginia St
Port Lavaca, TX 77979-3449
Phone (361) 552-5400

Other practice location 2

1108 N Esplanade St
Cuero, TX 77954-3434
Phone (361) 541-5915

Other names 1

  • Zoom Physical Therapy and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141215001403 TX Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9133441512 1 other NPI on this enrollment
Practice locations: Port Lavaca, TX; Victoria, TX; Cuero, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861805764. Details of each certification follow.

  • CCN 676725 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 676725

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ZOOM REHABILITATION INC
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 28, 2015
Last certification
May 2, 2024
Ownership / control type
Proprietary
Facility address
1101 E Airline Rd
Victoria, TX 77901

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Zoom Rehabilitationinc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2806 N Main St
Victoria, TX 77901
Phone (361) 237-1670

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1861805764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014000",
            "telephone_number": "361-237-1670",
            "fax_number": "361-237-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E AIRLINE RD",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014000",
            "telephone_number": "361-237-1670",
            "fax_number": "361-237-1703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Virginia St",
            "address_purpose": "LOCATION",
            "city": "Port Lavaca",
            "state": "TX",
            "postal_code": "779793449",
            "country_code": "US",
            "telephone_number": "361-552-5400",
            "fax_number": "361-552-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 N Esplanade St",
            "address_purpose": "LOCATION",
            "city": "Cuero",
            "state": "TX",
            "postal_code": "779543434",
            "country_code": "US",
            "telephone_number": "361-541-5915",
            "fax_number": "361-541-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZOOM REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "STEFKA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "361-541-5571"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoom Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zoom Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.