Michelle Lynn Kotarski, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1226-19 Issued in WI

Practice address

2727 N Grandview Blvd
Suite 100
Waukesha, WI 53188-6100

Phone

(414) 774-7794

Fax

(414) 607-3971

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Michelle Lynn Zinda Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1427484922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N 76TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131137",
            "telephone_number": "414-774-7794",
            "fax_number": "414-607-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 N GRANDVIEW BLVD",
            "address_2": "SUITE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531886100",
            "telephone_number": "414-774-7794",
            "fax_number": "414-607-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTARSKI",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1226-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "ZINDA",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Anne Kornetsky
• Amanda Kositzke, RDH
• Jessica Koss
• Colleen M Koster, LCSW
• Hunter Noah Kot
• Karel J Kotrly, M.D.
• Traci Lynn Kouhel, RN BSN
• Michael Kowalski, DDS
• Brittany Kozlowski
• Elsa S Kraemer

• Physical Therapy Assistant in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.