Healthcare Provider Details

I. General information

NPI: 1730097569
Provider Name (Legal Business Name): ZOMBEK PERFORMANCE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 BROOKHILL LN STE 109
CIRCLEVILLE OH
43113-9289
US

IV. Provider business mailing address

5856 WILLIAMSPORT PIKE
WILLIAMSPORT OH
43164-9508
US

V. Phone/Fax

Practice location:
  • Phone: 740-503-6721
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MATHEW ZOMBEK
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 740-503-6721