HANNAH BROOKE ZAK (PT, DPT) – Physical Therapist, NPI 1265002620

HANNAH BROOKE ZAK (PT, DPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 05014209A (IN). The NPI Number for HANNAH BROOKE ZAK (PT, DPT) is 1265002620

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HANNAH BROOKE ZAK (PT, DPT)
NPI
1265002620
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
29 June 2021
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3178171200
Graduation Year
2021 (5 years ago)
PAC ID
9931503216
Group Practice PAC ID
5991609281
Professional Enrollment ID
I20210809002246
Address ID
IN460328972CA10767STXX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for HANNAH BROOKE ZAK (PT, DPT)

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 3946 ICE WAY

    FORT WAYNE, IN 468051018

    Phone: (260) 266-7400

    Fax: (260) 266-4008

    Type: Location

  • 11109 PARKVIEW PLAZA DR

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210809002246IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7122$0
97140Therapy procedure using manual technique, each 15 minutes2012$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991609281View full group profile
NameSpecialtyState
-IN
Orthopedic SurgeryIN
Physical Therapist In Private PracticeIN
-IL
Physician AssistantIN
-IN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Orthopedic Surgery, Sports MedicineIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

What is the registry number for HANNAH BROOKE ZAK (PT, DPT)?
The registry entry for HANNAH BROOKE ZAK (PT, DPT) shows NPI 1265002620.
Is HANNAH BROOKE ZAK (PT, DPT)'s NPI status active today?
Active status means HANNAH BROOKE ZAK (PT, DPT)'s NPI record is not deactivated in the public file.
What services align with HANNAH BROOKE ZAK (PT, DPT)'s listing?
HANNAH BROOKE ZAK (PT, DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit HANNAH BROOKE ZAK (PT, DPT) in Fort Wayne, Indiana?
For routing, start with Fort Wayne, Indiana for HANNAH BROOKE ZAK (PT, DPT), then verify phone and hours locally.
Why is information missing for HANNAH BROOKE ZAK (PT, DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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