Individual provider Active NPI

Peter Stanley Zielinski, PT

  • Physical Therapist
  • Monroe, CT
National Provider Identifier
1407842099
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004421 Issued in CT
Practice address
181 Main St
Attn: Peter S Zielinski PT PC
Monroe, CT 06468-1110
Phone
(203) 445-9843
Fax
(203) 445-9847
NPI assigned
Sep 20, 2005
Last updated
Oct 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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 004421 CT Primary

Addresses

Primary practice location

181 Main St
Attn: Peter S Zielinski PT PC
Monroe, CT 06468-1110

Mailing address

181 Main St
Attn: Peter S Zielinski PT PC
Monroe, CT 06468-1110
Phone (203) 445-9843

Other identifiers 6

IdentifierTypeStateIssuer
080004421CT01OtherBLUE CROSS
2270432OtherAETNA
2V5870OtherHEALTH NET FACILITY #
37901OtherORTHO NET CIGNA GRP #
P1101804OtherOXFORD
9906497OtherCIGNA GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000183 CT Practitioner - Physical Therapist in Private Practice 2961499355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter S Zielinski Physical Therapy PCGroup PAC ID 0345237731, 3 clinicians

Practice addresses (Care Compare)

181 Main St
Monroe, CT 06468-1110
Phone (203) 445-9843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004421CTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peter S Zielinski Physical Therapy PC Physical Therapist CurrentSince Oct 31, 1999 Accepting new patients

Locations

181 Main St
Monroe, CT 06468
Phone (203) 445-8365

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1407842099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "address_2": "ATTN: PETER S ZIELINSKI PT PC",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681110",
            "telephone_number": "203-445-9843",
            "fax_number": "203-445-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MAIN ST",
            "address_2": "ATTN: PETER S ZIELINSKI PT PC",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681110",
            "telephone_number": "203-445-9843",
            "fax_number": "203-445-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "PETER",
        "middle_name": "STANLEY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "080004421CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2270432",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FACILITY #",
            "identifier": "2V5870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHO NET CIGNA GRP #",
            "identifier": "37901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1101804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP #",
            "identifier": "9906497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.