Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Zachary Vatalare, PT, DPT

Individual provider Physical Therapist · NPI 1124658554

Zachary Vatalare, PT, DPT is a Physical Therapist in Private Practice in Warren, New Jersey. Qualified in 2019, 7 years ago. Practices with Jag-One Physical Therapy LLC, a 328-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
7
Licensed in
NJ
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

34 Mountain Blvd Bldg C
Warren, NJ 07059-2640
Phone: (908) 222-0515
Fax: (908) 222-0516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01912700 (NJ)

Record details

NPI number1124658554
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJanuary 24, 2020
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020
Mailing address900 Route 9 N Fl 4, Woodbridge, NJ 07095-1025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Jag-One Physical Therapy Llc — 328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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