Active NPI
Michael Zelyez
- Physical Therapist
- Laramie, WY
National Provider Identifier
1316480478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1672
- Practice address
- 1909 Vista Dr
Laramie, WY 82070-5530 - Phone
- (307) 721-8024
- NPI assigned
- Nov 22, 2016
- Sex
- Male
- 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 Therapist | 225100000X | 1672 | WY | Primary |
Addresses
Primary practice location
1909 Vista Dr
Laramie, WY 82070-5530
Mailing address
1909 Vista Dr
Laramie, WY 82070-5530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1672 | Other | WY | STATE LICENSURE |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altitude Physical Therapy & Sports Medicine 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.
-
- Physical Therapy Clinic/Center
- Longmont, CO
- NPI 1235729567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1316480478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 VISTA DR",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705530",
"telephone_number": "307-721-8024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELYEZ",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "1672",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.