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Zoe E Lawler, PT

Physical Therapist in Private Practice · Sunnyvale

NPI 1558068221

Medicare standing
1 flag on the record
Listed below.
Plans that list them
7
2 carriers
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer

Offices

1 location · Breakthrough Physical Therapy Inc · 12 clinicians in this group

Looking this up.

Plans that list them

7 plans · 2 carriers

A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Zoe E Lawler’s office at (408) 736-7600 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.

7 of 7 plans

Plans whose provider directory lists this clinician
Central Health Classic Care Plan III (HMO)Central Health Medicare PlanListedAug 15, 2026
Central Health Dual Access Plan (HMO D-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Embrace Choice Plan (HMO C-SNP)Central Health Medicare PlanListedAug 15, 2026
Central Health Valor Care Plan (HMO)Central Health Medicare PlanListedAug 15, 2026
Imperial Courage Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Dynamic Plan (HMO)Imperial Health Plan of California, Inc.ListedSep 1, 2026
Imperial Senior Value (HMO C-SNP)Imperial Health Plan of California, Inc.ListedSep 1, 2026

Original Medicare doctor bills

$104,652

Medicare paid this office $104,652 for 144 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Therapy procedure using functional activities140$48,006$32
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes114$22,250$23
Therapy procedure using manual technique, each 15 minutes117$15,118$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65$8,868$21
Evaluation for physical therapy, typically 20 minutes55$4,959$81
See all 7 services
Every Original Medicare service billed
Therapy procedure using functional activities140$48,006$32
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes114$22,250$23
Therapy procedure using manual technique, each 15 minutes117$15,118$18
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes65$8,868$21
Evaluation for physical therapy, typically 20 minutes55$4,959$81
Evaluation for physical therapy, typically 30 minutes34$3,027$86
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care38$2,319$8

Who their Medicare patients are

144 Original Medicare patients in 2024. Average age 76 · Women 67% · Also on Medicaid 15% · Health risk score 1.10. Above the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.

Conditions among them: High blood pressure 75% · Diabetes 35% · Coronary heart disease 22% · Chronic kidney disease 22% · Cancer 21% · Atrial fibrillation 20% · Depression 16% · Heart failure 15% · COPD 9% · Stroke 8%.

The office billed $321,192, Medicare allowed $136,920 and paid $104,652; for 4,086 services of 9 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
20241444,086761.10$321,192$104,652
20231062,170751.04$173,130$60,838

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 6 services

Original Medicare services billed in 2023
Therapy procedure using functional activities104$30,789$32
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes93$18,135$23
Therapy procedure using manual technique, each 15 minutes63$5,705$19
Evaluation for physical therapy, typically 20 minutes45$3,446$72
Evaluation for physical therapy, typically 30 minutes21$2,069$99
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care17$538$8

Professional record

NPI
1558068221
Licence
CA 303675
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 225100000X (225100000X)
Mailing address
4205 San Felipe Rd Ste 100, San Jose, CA, 95135
NPI first listed
2023-02-13
NPI last updated
2025-06-09
NPI record certified
2025-06-09

This is when the NPI record was last certified, not a medical board exam.