Individual provider Active NPI

Martin Zackroff, MPT

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1982601597
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-012940L Issued in PA
Practice address
893 S Matlack St Ste 150
West Chester, PA 19382-4507
Phone
(484) 318-8274
Fax
(484) 947-0946
NPI assigned
Jun 29, 2005
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 PT-012940L PA Primary

Addresses

Primary practice location

893 S Matlack St Ste 150
West Chester, PA 19382-4507

Mailing address

4647 W Chester Pike
Newtown Square, PA 19073-2226
Phone (610) 353-7533

Other practice location 1

4647 W Chester Pike
Newtown Square, PA 19073-2226
Phone (610) 353-7533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000833 PA Practitioner - Physical Therapist in Private Practice 1052362928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint and Spine Physical Therapy, LLCGroup PAC ID 1658322524, 4 clinicians

Practice addresses (Care Compare)

4647 W Chester Pike
Newtown Square, PA 19073-2226
Phone (610) 353-7533

893 S Matlack St
Suite 150
West Chester, PA 19382-4507
Phone (484) 318-8274

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-012940LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joint & Spine Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients

Locations

4647 West Chester Pike
Newtown Square, PA 19073
Phone (610) 353-7533

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1982601597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732226",
            "telephone_number": "610-353-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 S MATLACK ST STE 150",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824507",
            "telephone_number": "484-318-8274",
            "fax_number": "484-947-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4647 W Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Newtown Square",
            "state": "PA",
            "postal_code": "190732226",
            "country_code": "US",
            "telephone_number": "610-353-7533",
            "fax_number": "610-353-7535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACKROFF",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-012940L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.