Active NPI
Zoom Rehabilitation Inc
Doing business as Zoom Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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.
-
dba Zoom Physical Therapy and Wellness
- Rehabilitation Clinic/Center
- Cuero, TX
- NPI 1235674615
O20141215001403
National Provider Directory
National Provider Directory- Tax ID family
- Zoom Rehabilitationinc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Zoom Physical Therapy and Wellness
- Rehabilitation Clinic/Center
- Port Lavaca, TX
- NPI 1639669799
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.