Provider Demographics
NPI:1669088787
Name:SOMMERMEYER, ZACHARY (PT, DPT, GCS)
Entity type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:SOMMERMEYER
Suffix:
Gender:
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 MAJESTIC CT
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-2769
Mailing Address - Country:US
Mailing Address - Phone:314-315-3518
Mailing Address - Fax:
Practice Address - Street 1:22 MAJESTIC CT
Practice Address - Street 2:
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026-2769
Practice Address - Country:US
Practice Address - Phone:314-315-3518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-23
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050045482251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics