Michele Alden Zeolla, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT17671 Issued in CA

Practice address

5927 Kanan Road
Agoura Hills, CA 91301-1688

Phone

(818) 889-0158

Fax

(818) 889-4708

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zeolla Physical Therapy IncGroup PAC ID 8224292776, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Zeolla Physical Therapy Inc

  • Physical Therapist
  • Agoura Hills, CA
  • NPI 1679694798
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114053519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 KANAN ROAD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158",
            "fax_number": "818-889-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 KANAN ROAD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158",
            "fax_number": "818-889-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEOLLA",
        "first_name": "MICHELE",
        "middle_name": "ALDEN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "PT176710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "7126624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Yu, DDS, MSD
• Sun Young Yun
• Zak Dental Corp
• Melissa Zartar, LMFT
• Zeolla Physical Therapy Inc
• Jessica Ziehl, LMFT
• Batya Bloise Zimmerman, MFT
• Denise Zweig, CCC-SLP

• Physical Therapist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.