Individual provider Active NPI

David Lloyd Zwieg, PT

  • Physical Therapist
  • Fox Lake, WI
National Provider Identifier
1134488240
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2325 Issued in WI
Practice address
W10177 Hickory Bay Rd
Fox Lake, WI 53933-9632
Phone
(920) 928-2275
NPI assigned
May 9, 2012
Last updated
May 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2325 WI Primary
Physical Therapist 225100000X P8482 NC

Addresses

Primary practice location

W10177 Hickory Bay Rd
Fox Lake, WI 53933-9632

Mailing address

W10177 Hickory Bay Rd
Fox Lake, WI 53933-9632
Phone (920) 928-2275

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
2325WIMDDentist
P8482NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1134488240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W10177 HICKORY BAY RD",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339632",
            "telephone_number": "920-928-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W10177 HICKORY BAY RD",
            "city": "FOX LAKE",
            "state": "WI",
            "postal_code": "539339632",
            "telephone_number": "920-928-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIEG",
        "first_name": "DAVID",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2325",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P8482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.