Individual provider Active NPI

Shane Zanath, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1891128641
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-010484 Issued in AZ
Practice address
10245 N 92ND St
Scottsdale, AZ 85258-4563
Phone
(480) 704-3382
Fax
(480) 704-3373
NPI assigned
Aug 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X
Orthopedic Physical Therapist 2251X0800X
Physical Therapist 225100000X LPT-010484 AZ Primary

Addresses

Primary practice location

10245 N 92ND St
Scottsdale, AZ 85258-4563

Mailing address

2910 N 3Rd Ave # 200
Phoenix, AZ 85013-4434
Phone (602) 406-3181

Other identifiers 1

IdentifierTypeStateIssuer
837618MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131002000105 AZ Practitioner - Physical Therapist in Private Practice 4880828029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical Associates LTDGroup PAC ID 8820993967, 76 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 110
Phoenix, AZ 85048-7693
Phone (480) 763-5808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD Physical Therapist CurrentSince Aug 12, 2019 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Aug 12, 2019 Accepting new patients

Locations

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

4530 E Muirwood Dr
Ste 110
Phoenix, AZ 85048
Phone (480) 763-5808

10245 N 92nd St
Scottsdale, AZ 85258
Phone (480) 704-3382

Interoperability endpoints

  • Direct secure messaging: shane.zanath.1@31799.direct.athenahealth.com

Organizations & group practices 2

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1891128641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 N 3RD AVE # 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134434",
            "telephone_number": "602-406-3181",
            "fax_number": "602-264-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10245 N 92ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584563",
            "telephone_number": "480-704-3382",
            "fax_number": "480-704-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANATH",
        "first_name": "SHANE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-15",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-010484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.