Individual provider Active NPI

Zachary W Meyer, DPT

  • Physical Therapist
  • West Roxbury, MA
National Provider Identifier
1871265413
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
75-77 Spring Street
Unit 200
West Roxbury, MA 02132
Phone
(617) 637-4640
Fax
(617) 420-5980
NPI assigned
Oct 1, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 61519866 WA
Physical Therapist 225100000X 070-026254 IL
Physical Therapist 225100000X PT305934 CA
Physical Therapist 225100000X MA Primary

Addresses

Primary practice location

75-77 Spring Street
Unit 200
West Roxbury, MA 02132

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

1330 Shermer Rd
Northbrook, IL 60062-4539
Phone (847) 480-1280

Other practice location 2

25012 104th Ave SE Ste C
Kent, WA 98030-2821
Phone (253) 856-3477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211012003428 IL Practitioner - Physical Therapist in Private Practice 2860890464 Reassigns benefits to 1 organization
I20250623000460 MA Practitioner - Physical Therapist in Private Practice 2860890464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

1330 Shermer Rd
Northbrook, IL 60062-4539
Phone (847) 480-1280

75 Spring St
Suite 77
West Roxbury, MA 02132-4335
Phone (617) 637-4640

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT305934CAMDPhysical Therapist
61519866WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Jun 16, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Oct 4, 2021 Accepting new patients
Omnis Omnia Inc. PastSince Feb 4, 2015 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

1330 Shermer Rd
Northbrook, IL 60062
Phone (847) 480-1280

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

75 Spring St
#77
West Roxbury, MA 02132
Phone (617) 637-4640

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

Interoperability endpoints

  • Direct secure messaging: zachary.meyer.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 6

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1871265413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-77 SPRING STREET",
            "address_2": "UNIT 200",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "02132",
            "telephone_number": "617-637-4640",
            "fax_number": "617-420-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Shermer Rd",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624539",
            "country_code": "US",
            "telephone_number": "847-480-1280",
            "fax_number": "847-480-1279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25012 104th Ave SE Ste C",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980302821",
            "country_code": "US",
            "telephone_number": "253-856-3477",
            "fax_number": "253-856-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ZACHARY",
        "middle_name": "W",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61519866",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-026254",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT305934",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; 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.