Active NPI
Erin M Zimbal, PT
- Physical Therapist
- Manitowoc, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12001-24
- Practice address
- 3415 Custer St
Suite D
Manitowoc, WI 54220-4324 - Phone
- (920) 652-9310
- NPI assigned
- May 31, 2012
- Last updated
- Sep 20, 2022
- 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 Therapist | 225100000X | 12001-24 | WI | Primary |
Addresses
Primary practice location
3415 Custer St
Suite D
Manitowoc, WI 54220-4324
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7210
Other practice location 1
704 S Webster Ave
Green Bay, WI 54301-3528
Phone (920) 433-3410
Other practice location 2
1970 S Ridge Rd
Green Bay, WI 54304-4125
Phone (920) 430-4888
Other practice location 3
1800 Lawrence Dr
DE Pere, WI 54115-9108
Phone (920) 983-3220
Other practice location 4
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
Other practice location 5
1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4700
Other practice location 6
595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005
Other names 1
- Erin M Dorn-Bintzler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3415 Custer St D
Manitowoc, WI 54220-4356
Phone (920) 652-9310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Physical Therapist | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
831 Parker Ave
Algoma, WI 54201
Phone (920) 487-3084
1800 Lawrence Dr
De Pere, WI 54115
Phone (920) 983-3220
595 R Rd
Denmark, WI 54208
Phone (920) 863-2005
1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700
2305 San Luis Pl
Green Bay, WI 54304
Phone (920) 494-2817
3263 Eaton Rd
Green Bay, WI 54311
Phone (920) 433-6000
704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
575 4th St
Kewaunee, WI 54216
Phone (920) 388-4640
1765 N 18th St
Manitowoc, WI 54220
Phone (920) 482-0575
3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310
Interoperability endpoints
- ezimbal924914@direct.emplifyhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1396006821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 CUSTER ST",
"address_2": "SUITE D",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204324",
"telephone_number": "920-652-9310"
}
],
"practiceLocations": [
{
"address_1": "704 S Webster Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543013528",
"country_code": "US",
"telephone_number": "920-433-3410",
"fax_number": "920-433-3419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1970 S Ridge Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543044125",
"country_code": "US",
"telephone_number": "920-430-4888",
"fax_number": "920-430-4889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Lawrence Dr",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541159108",
"country_code": "US",
"telephone_number": "920-983-3220",
"fax_number": "920-983-3226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3263 Eaton Rd",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543116830",
"country_code": "US",
"telephone_number": "920-433-6700",
"fax_number": "920-433-6830",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Commanche Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543135753",
"country_code": "US",
"telephone_number": "920-430-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "595 County Road R",
"address_purpose": "LOCATION",
"city": "Denmark",
"state": "WI",
"postal_code": "542089120",
"country_code": "US",
"telephone_number": "920-863-2005",
"fax_number": "920-863-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMBAL",
"first_name": "ERIN",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12001-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "DORN-BINTZLER",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.