Individual provider Active NPI

Zelik Ziegelbaum, RPT

  • Physical Therapist
  • Port Washington, NY
National Provider Identifier
1407922198
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7616 Issued in NY
Practice address
26 Manorhaven Blvd
Port Washington, NY 11050
Phone
(516) 944-8798
Fax
(516) 944-9354
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 7616 NY Primary

Addresses

Primary practice location

26 Manorhaven Blvd
Port Washington, NY 11050

Mailing address

26 Manorhaven Blvd
Port Washington, NY 11050
Phone (516) 944-8798

Other identifiers 2

IdentifierTypeStateIssuer
ANC1617OtherNYOXFORD
34301OtherNYCIGNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000314 NY Practitioner - Physical Therapist in Private Practice 4486828811 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Port Washington, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ZR Ziegelbaum RPTGroup PAC ID 4385087550, 3 clinicians

Practice addresses (Care Compare)

26 Manorhaven Blvd
Port Washington, NY 11050-1608
Phone (516) 944-8798

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
90
Improvement activities
40
Cost
67.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007616NYMDPsychologist
7616NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ZR Ziegelbaum RPT Physical Therapist CurrentSince Oct 1, 2022 Accepting new patients

Locations

26 Manorhaven Blvd
Prt Washingtn, NY 11050
Phone (516) 944-8798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1407922198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-944-8798",
            "fax_number": "516-944-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MANORHAVEN BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "11050",
            "telephone_number": "516-944-8798",
            "fax_number": "516-944-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEGELBAUM",
        "first_name": "ZELIK",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "7616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1617",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "34301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.