Active NPI
Christyl Jean Zielinski, PTA
- Physical Therapy Assistant
- Sheboygan Falls, WI
National Provider Identifier
1255544813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 539-019
- Practice address
- 220 Haven Dr
Sheboygan Falls, WI 53085-3005 - Phone
- (920) 550-5254
- Fax
- (920) 467-0696
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 539-019 | WI | Primary |
Addresses
Primary practice location
220 Haven Dr
Sheboygan Falls, WI 53085-3005
Mailing address
1110 Carver Ave
Howards Grove, WI 53083-1330
Phone (920) 207-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40374600 | Medicaid | WI |
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 |
|---|---|---|---|
| 539-019 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Morningside LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Sheboygan, WI
- NPI 1942728738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1255544813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 CARVER AVE",
"city": "HOWARDS GROVE",
"state": "WI",
"postal_code": "530831330",
"telephone_number": "920-207-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HAVEN DR",
"city": "SHEBOYGAN FALLS",
"state": "WI",
"postal_code": "530853005",
"telephone_number": "920-550-5254",
"fax_number": "920-467-0696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "CHRISTYL",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "539-019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40374600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.