Individual provider Active NPI

Zachary James Mazeski, DPT

  • Physical Therapist
  • Peoria, AZ
National Provider Identifier
1871277293
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
64999 Issued in OR
Practice address
13128 N 94TH Dr
Peoria, AZ 85381-4254
Phone
(623) 974-1797
NPI assigned
Jun 14, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 64999 OR Primary

Addresses

Primary practice location

13128 N 94TH Dr
Peoria, AZ 85381-4254

Mailing address

1519 E 21St St
The Dalles, OR 97058-3072
Phone (541) 980-4774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230727001913 AZ Practitioner - Physical Therapist in Private Practice 5799146486 Reassigns benefits to 1 organization
I20231204001075 OR Practitioner - Physical Therapist in Private Practice 5799146486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Midwestern University College of Dental Medicine, Glendale, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

9282 NE Windsor St
Hillsboro, OR 97006-7025
Phone (503) 606-8849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients
Valley Rehabilitation, LTD. Physical Therapist CurrentSince Jun 21, 2023 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients
Valley Rehabilitation of Sun City Physical Therapist PastSince Feb 1, 2022 Accepting new patients

Locations

13128 N 94th Dr
Ste 207
Peoria, AZ 85381
Phone (623) 974-1797

14300 W Granite Valley Dr
Ste E21
Sun City West, AZ 85375
Phone (623) 546-6712

15000 SW Barrows Rd
Ste 201
Beaverton, OR 97007
Phone (971) 257-5663

3925 SW 153rd Dr
Ste 210
Beaverton, OR 97003
Phone (503) 644-0600

9282 NE Windsor St
Hillsboro, OR 97006
Phone (503) 606-8849

2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802

Organizations & group practices 4

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1871277293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 E 21ST ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583072",
            "telephone_number": "541-980-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 N 94TH DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814254",
            "telephone_number": "623-974-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZESKI",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.