Individual provider Active NPI

Kurt Matthew Zillmann, PT

  • Physical Therapist
  • Westlake, OH
National Provider Identifier
1356341192
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 004415 Issued in OH
Practice address
24700 Center Ridge Rd Ste 170
Westlake, OH 44145-5668
Phone
(440) 777-3343
Fax
(440) 777-3357
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 004415 OH Primary

Addresses

Primary practice location

24700 Center Ridge Rd Ste 170
Westlake, OH 44145-5668

Mailing address

24700 Center Ridge Rd Ste 170
Westlake, OH 44145-5668
Phone (440) 777-3343

Other identifiers 1

IdentifierTypeStateIssuer
2413936MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000063 OH Practitioner - Physical Therapist in Private Practice 7214921014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24700 Ctr Ridge Rd
Suite 170
Westlake, OH 44145-5668
Phone (440) 777-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 004415OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Body Connections, LLC Physical Therapist CurrentSince Jan 1, 2005 Accepting new patients
King James Medical Laboratory Inc PastSince Jan 1, 2005 Accepting new patients

Locations

24700 Center Ridge Rd
Ste 170
Westlake, OH 44145
Phone (440) 777-3343

26965 Center Ridge Rd
Westlake, OH 44145
Phone (440) 892-9100

Organizations & group practices 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1356341192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE 170",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455668",
            "telephone_number": "440-777-3343",
            "fax_number": "440-777-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE 170",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455668",
            "telephone_number": "440-777-3343",
            "fax_number": "440-777-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILLMANN",
        "first_name": "KURT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT 004415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2413936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.