MEDICARE: ZACHARY CARITHERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1365683	TX

General Provider Information

NPI Number	:	1356078471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY CARITHERS

Provider Business Mailing Address
First Line	:	211 E 7TH ST STE 700
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78701-3218
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	737-707-3909

Provider Business Practice Location Address
First Line	:	2755 ELLIS AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76164-7131
Country	:	US
Telephone Number	:	888-478-8432
Fax Number	:	682-882-3005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	05/14/2026

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Directions to “ ZACHARY CARITHERS ” Practice Location

Language	Start Address	Practice Location

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