Active NPI
Michael Angelo Zielinski, PT, OTR
- Physical Therapist
- Appleton, WI
National Provider Identifier
1114112224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10434-24
- Practice address
- 4535 N Habitat Way
Appleton, WI 54913-6727 - Phone
- (920) 205-2660
- NPI assigned
- Sep 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3716-26 | WI | |
| Physical Therapist | 225100000X | 10434-24 | WI | Primary |
Addresses
Primary practice location
4535 N Habitat Way
Appleton, WI 54913-6727
Mailing address
4535 N Habitat Way
Appleton, WI 54913-6727
Phone (209) 205-2660
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mobilehealthpt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10434-24 | WI | MD | Physical Therapist |
| 3716-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Therapy Specialists, LLC | Physical Therapist | Current | Accepting new patients |
| Mobile Health Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Interoperability endpoints
- mzielinski17950@direct.thedacare.org
Organizations & group practices 2
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.
-
- Physical Therapist
- Appleton, WI
- NPI 1215547872
-
- Physical Therapist
- Appleton, WI
- NPI 1881217057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1114112224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 N HABITAT WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549136727",
"telephone_number": "209-205-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 N HABITAT WAY",
"city": "APPLETON",
"state": "WI",
"postal_code": "549136727",
"telephone_number": "920-205-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "MICHAEL",
"middle_name": "ANGELO",
"credential": "PT, OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3716-26",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "10434-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mobilehealthpt.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4535 N Habitat Way",
"city": "Appleton",
"state": "WI",
"country_code": "US",
"postal_code": "549136727",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.