Individual provider Active NPI

Theodore Phillip Ziaylek Jr., DPT

  • Orthopedic Physical Therapist
  • Marietta, GA
National Provider Identifier
1235515784
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT012045 Issued in GA
Practice address
1401 Johnson Ferry Rd Ste 340
Marietta, GA 30062-6495
Phone
(404) 491-7420
NPI assigned
Aug 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT012045 GA Primary

Addresses

Primary practice location

1401 Johnson Ferry Rd Ste 340
Marietta, GA 30062-6495

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020000902 GA Practitioner - Physical Therapist in Private Practice 4183933856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

1401 Johnson Ferry Rd
Suite 340
Marietta, GA 30062-6495
Phone (404) 491-7420

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012045GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Physical Therapy, LLC Orthopedic CurrentSince Oct 1, 2015 Accepting new patients
Team Rehabilitation Services, LLC Orthopedic CurrentSince Oct 25, 2021 Accepting new patients
Motion Stability, LLC PastSince Jun 8, 2018 Accepting new patients

Locations

550 Pharr Rd NE
Ste 550
Atlanta, GA 30305
Phone (404) 382-8702

3280 Peachtree Rd NE
Ste 110B
Atlanta, GA 30305
Phone (404) 382-8702

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

1401 Johnson Ferry Rd
Ste 340
Marietta, GA 30062
Phone (404) 491-7420

5510 Spalding Dr
Ste B
Peachtree Corners, GA 30092
Phone (404) 382-8702

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 3

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514937600000",
    "number": "1235515784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 JOHNSON FERRY RD STE 340",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626495",
            "telephone_number": "404-491-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAYLEK",
        "first_name": "THEODORE",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2018-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT012045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.