Individual provider Active NPI

Michael Angelo Zielinski, PT, OTR

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1114112224
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10434-24 Issued in WI
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

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
10434-24WIMDPhysical Therapist
3716-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Therapy Specialists, LLC Physical Therapist CurrentSince Oct 16, 2022 Accepting new patients
Mobile Health Physical Therapy, LLC Physical Therapist CurrentSince Oct 16, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.