Individual provider Active NPI

Michelle M Ziegler, MPT

  • Physical Therapist
  • Olympia, WA
National Provider Identifier
1376528059
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007656 Issued in WA
Practice address
2964 Limited LN NW Ste a
Olympia, WA 98502-4577
Phone
(360) 704-7276
Fax
(360) 704-7277
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 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 PT00007656 WA Primary

Addresses

Primary practice location

2964 Limited LN NW Ste a
Olympia, WA 98502-4577

Mailing address

111 Tumwater Blvd SE Ste 113
Tumwater, WA 98501-6422
Phone (360) 528-3300

Other identifiers 1

IdentifierTypeStateIssuer
8344814MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000774 WA Practitioner - Physical Therapist in Private Practice 5597717819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Active Sportsmed PLLCGroup PAC ID 2062303969, 6 clinicians

Practice addresses (Care Compare)

111 Tumwater Blvd SE
Suite 113
Tumwater, WA 98501-6422
Phone (360) 528-3300

2964 Limited LN NW
Suite a
Olympia, WA 98502-4577
Phone (360) 704-7276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7656WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Active Sportsmed PLLC CurrentSince Jan 9, 2012 Accepting new patients
Cascade Sport & Spine Rehabilitation Inc PC Physical Therapist Past Accepting new patients
Family Physical Therapy and Sports Rehabilitation Physical Therapist Past Accepting new patients

Locations

2964 Limited Ln NW
Ste A
Olympia, WA 98502
Phone (360) 704-7276

111 Tumwater Blvd SE
Ste 113
Tumwater, WA 98501
Phone (360) 528-3300

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1376528059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 TUMWATER BLVD SE STE 113",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016422",
            "telephone_number": "360-528-3300",
            "fax_number": "360-528-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 LIMITED LN NW STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985024577",
            "telephone_number": "360-704-7276",
            "fax_number": "360-704-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGLER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8344814",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.