Zachary Ryan Marvin Bissell, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8775 Issued in MN

Practice address

390 North Loop Rd
Fort Irwin, CA 92310

Phone

(760) 383-5370

NPI assigned

Nov 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1972880284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 TACONY ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071261",
            "telephone_number": "218-590-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NORTH LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "92310",
            "telephone_number": "760-383-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSELL",
        "first_name": "ZACHARY",
        "middle_name": "RYAN MARVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "8775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alfred Behr, RN
• Porsha Shikera Bell, X2
• Holly Joan Berens, LPN
• Mark Bergami
• Stephen Bertsch, CRNA
• Chase Turner Blankenship, DO
• Maria Jose Blazquez-Gomez
• Nicholas Guajardo Bohling
• Melody Boskuil Kong-Ndoumbe, BSN
• Keri Lynn Brandt, RDH

• Physical Therapist in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.