MEDICARE: MR. MARTIN ZACKROFF MPT

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	PT-012940L	PA

General Provider Information

NPI Number	:	1982601597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARTIN ZACKROFF MPT

Provider Business Mailing Address
First Line	:	4647 W CHESTER PIKE
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2226
Country	:	US
Telephone Number	:	610-353-7533
Fax Number	:

Provider Business Practice Location Address
First Line	:	893 S MATLACK ST STE 150
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-4507
Country	:	US
Telephone Number	:	484-318-8274
Fax Number	:	484-947-0946

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

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	12/11/2025

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