Molly Marie Van Zeeland, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11429-024 Issued in WI

Practice address

279 Altenhofen Drive
Appleton, WI 54913

Phone

(920) 738-0671

Fax

(920) 738-0773

NPI assigned

Jul 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Molly Bouressa Former name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Performance Physical Therapy and Sports Medicine, Inc.Group PAC ID 1052209962, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peak Performance Physical Therapy & Sports Medicine, Inc.

  • Physical Therapist
  • Appleton, WI
  • NPI 1730105008
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1316250095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 ALTENHOFEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-738-0671",
            "fax_number": "920-738-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 ALTENHOFEN DRIVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-738-0671",
            "fax_number": "920-738-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ZEELAND",
        "first_name": "MOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-22",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11429-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BOURESSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa M Van Schyndel, COTA
• Tyler John Van Sistine
• Gabriella Van Thiel, MS, CGC
• Michelle Lee Van Thiel I, LCSW
• Heidi Jo Van Toll, OTR
• Nathan Lee Van Zeeland, MD
• Holly Vande Kolk
• Kasey A Vande Voort, OTR/L
• Ann Margaret Vandehey, LAT
• Shannan L Vandehey, SA

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.