Individual provider Active NPI

Colin Ziegenbein, DPT

  • Physical Therapist
  • Maple Grove, MN
National Provider Identifier
1427567536
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12120 Issued in MN
Practice address
15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone
(952) 993-5900
NPI assigned
Sep 21, 2017
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 23606 MA
Physical Therapist 225100000X 294274 CA
Physical Therapist 225100000X 62304 OR
Physical Therapist 225100000X 12120 MN Primary

Addresses

Primary practice location

15301 Grove Cir N
Maple Grove, MN 55369-4475

Mailing address

8170 33Rd Ave S # Ms 21110Q
Minneapolis, MN 55425-4516

Other practice location 1

2345 Biehn St
Klamath Falls, OR 97601-1761
Phone (541) 882-4612

Other practice location 2

2345 Biehn St
Klamath Falls, OR 97601-1761
Phone (541) 882-4612

Other practice location 3

1429 W Fremont St
Stockton, CA 95203-2635
Phone (209) 546-7767

Other practice location 4

1095 Washington St
Attleboro, MA 02703-7944
Phone (508) 761-5945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191227001215 MA Practitioner - Physical Therapist in Private Practice 1658614664 Reassigns benefits to 1 organization
I20210603001933 MN Practitioner - Physical Therapist in Private Practice 1658614664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

15301 Grove Cir N
Maple Grove, MN 55369-4475
Phone (952) 993-5900

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294274CAMDPhysical Therapist
23606MAMDPhysical Therapist
62304ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Park Nicollet Clinic CurrentSince Jun 7, 2021 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Park Nicollet Clinic Current Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jan 6, 2020 Accepting new patients
Park Nicollet Clinic CurrentSince Jun 7, 2021 Accepting new patients
Integrated Health & Wellness, LLC Physical Therapist Past Accepting new patients
Integrated Physical Therapy, Inc Physical Therapist PastSince Dec 1, 2016 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

1095 Washington St
South Attleboro, MA 02703
Phone (508) 761-5945

15301 Grove Cir N
Maple Grove, MN 55369
Phone (952) 412-3463

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

Organizations & group practices 7

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1427567536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 GROVE CIR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694475",
            "telephone_number": "952-993-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Biehn St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011761",
            "country_code": "US",
            "telephone_number": "541-882-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Biehn St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976011761",
            "country_code": "US",
            "telephone_number": "541-882-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1429 W Fremont St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952032635",
            "country_code": "US",
            "telephone_number": "209-546-7767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Washington St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027037944",
            "country_code": "US",
            "telephone_number": "508-761-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIEGENBEIN",
        "first_name": "COLIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294274",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62304",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.