MEDICARE: ZAKARY DAVIS DPT

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	070.039818	IL

General Provider Information

NPI Number	:	1780510628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKARY DAVIS DPT

Provider Business Mailing Address
First Line	:	4331 LOWELL AVE
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-2362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2949 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3536
Country	:	US
Telephone Number	:	773-250-7777
Fax Number	:

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

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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Directions to “ ZAKARY DAVIS DPT” Practice Location

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