Active NPI
Roger Zhao, D.P.T.
- Physical Therapist
- Arroyo Grande, CA
National Provider Identifier
1972850493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39090
- Practice address
- 560 Spanish TRL
Arroyo Grande, CA 93420-6564 - Phone
- (714) 555-2231
- NPI assigned
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6394 | NV | |
| Physical Therapist | 225100000X | 040.0134729 | VT | |
| Physical Therapist | 225100000X | 39090 | CA | Primary |
| Physical Therapist | 225100000X | PT020975 | OH | |
| Physical Therapist | 225100000X | 070028149 | IL | |
| Physical Therapist | 225100000X | PT032113 | PA | |
| Physical Therapist | 225100000X | NY | ||
| Physical Therapist | 225100000X | 1390459 | TX |
Addresses
Primary practice location
560 Spanish TRL
Arroyo Grande, CA 93420-6564
Mailing address
13937 S Sprague LN Ste 100
Draper, UT 84020-7864
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070028149 | IL | MD | Physical Therapist |
| 6394 | NV | MD | Physical Therapist |
| PT020975 | OH | MD | Physical Therapist |
| PT032113 | PA | MD | Physical Therapist |
| 1390459 | TX | MD | Physical Therapist |
| 040.0134729 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1972850493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13937 S SPRAGUE LN STE 100",
"city": "DRAPER",
"state": "UT",
"postal_code": "840207864",
"telephone_number": "385-308-8034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 SPANISH TRL",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934206564",
"telephone_number": "714-555-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "6394",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0134729",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39090",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020975",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028149",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT032113",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1390459",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.