Packer Neurodiagnostics, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PACKER NEURODIAGNOSTICS, LLC

Practice address

4625 Trail Boss Dr Ste F
Castle Rock, CO 80104-2803

Phone

(208) 243-4832

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Zac Packer, DPTNPI 1497546949

Title

Physical Therapist/Manager

Phone

(208) 243-4832

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zac Packer, PT, DPT

  • Physical Therapist
  • Castle Rock, CO
  • NPI 1497546949
  NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1952294779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 TRAIL BOSS DR STE F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042803",
            "telephone_number": "208-243-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 TRAIL BOSS DR STE F",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042803",
            "telephone_number": "208-243-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACKER NEURODIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "ZAC",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/MANAGER",
        "authorized_official_telephone_number": "208-243-4832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dianne Orwig
• Emily Osga, DPT
• Amy Lynne Ossian, PA-C
• Adria Owens
• James Pacheco, DDS
• Zac Packer, PT, DPT
• Rutvij Padhiar, DDS
• Gabriel Padron, CMT
• Billy Joe Page, DO
• Pahs Onpoint Urgent Care LLC

• Physical Therapist in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.