Individual provider Active NPI

Zachary T Bogaczyk, DPT

  • Physical Therapist
  • Troy, PA
National Provider Identifier
1992153340
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025147 Issued in PA
Practice address
7731 Route 6
Troy, PA 16947-9253
Phone
(570) 297-2774
Fax
(570) 297-3547
NPI assigned
May 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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 PT025147 PA Primary

Addresses

Primary practice location

7731 Route 6
Troy, PA 16947-9253

Mailing address

824 McAlpine St
Suite 5
Avoca, PA 18641-1104
Phone (570) 842-9323

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629000316 PA Practitioner - Physical Therapist in Private Practice 1355632993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access PT PennsylvaniaGroup PAC ID 6507214707, 15 clinicians
Pivot Physical Therapy of Pennsylvania LLCGroup PAC ID 4981971843, 123 clinicians

Practice addresses (Care Compare)

4 Flowers Dr
Suite 1
Mechanicsburg, PA 17050-1709
Phone (717) 219-3240

7731 Route 6
Troy, PA 16947-9253
Phone (570) 297-2774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT025147PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT Pennsylvania Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist CurrentSince Jun 1, 2017 Accepting new patients
Access PT Pennsylvania Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients

Locations

824 McAlpine St
Ste 5
Avoca, PA 18641
Phone (570) 471-7662

290 E Pomfret St
Carlisle, PA 17013
Phone (717) 229-0121

328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922

4 Flowers Dr
Ste 1
Mechanicsburg, PA 17050
Phone (717) 219-3240

417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101

655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142

24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111

130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850

7731 Route 6
Troy, PA 16947
Phone (570) 297-2774

2605 Reach Rd
Ste A
Williamsport, PA 17701
Phone (570) 322-2251

Organizations & group practices 4

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1992153340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "address_2": "SUITE 5",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411104",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7731 ROUTE 6",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479253",
            "telephone_number": "570-297-2774",
            "fax_number": "570-297-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGACZYK",
        "first_name": "ZACHARY",
        "middle_name": "T",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.