Active NPI
Zachary Vandenberg, DPT
- Physical Therapist
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13806-24
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 781-4101
- NPI assigned
- Jun 6, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Medford, OR
- NPI 1518093376
OR, Physical Therapist
-
- Occupational Therapist
- Wausau, WI
- NPI 1174977433
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Grants Pass, OR
- NPI 1942859749
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
854 Fox Point PLZ
Unit 5
Neenah, WI 54956-3781
Phone (920) 383-4843
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, OR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200427002560 | WI | Practitioner - Physical Therapist in Private Practice | 3072943471 | Reassigns benefits to 2 organizations |
| I20220519001291 | OR | Practitioner - Physical Therapist in Private Practice | 3072943471 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Orthopedics Inc | Current | Accepting new patients | |
| Orthopaedic Centers of Wisconsin S C | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Excel Physical Therapy LLC | Current | Accepting new patients | |
| Southern Oregon Orthopedics Inc | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
2780 E Barnett Rd
Ste 200
Medford, OR 97504
Phone (541) 779-6250
5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135
2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400
854 Fox Point Plz
Unit 5
Neenah, WI 54956
Phone (920) 383-4843
480 N Koeller St
Oshkosh, WI 54902
Phone (920) 233-8739
500 Vincent St
Stevens Point, WI 54481
Phone (715) 341-7920
3901 Stewart Ave
Wausau, WI 54401
Phone (715) 841-0002
Interoperability endpoints
- zvandenbergagency238904@samhealth.direct-ci.com
- zachary.vandenberg.p7@direct.athleticoltd.nextgenshare.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13806-24 | WI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
122 E College Ave
Appleton, WI 54911-5794
Other practice location 1
122 E College Ave
Appleton, WI 54911-5794
Phone (920) 735-5560
Other practice location 2
400 Hickory St NW Ste 201
Albany, OR 97321-1700
Phone (541) 812-5840
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zvandenbergagency238904@samhealth.direct-ci.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1578092276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-781-4101"
}
],
"practiceLocations": [
{
"address_1": "122 E College Ave",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549115794",
"country_code": "US",
"telephone_number": "920-735-5560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Hickory St NW Ste 201",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "OR",
"postal_code": "973211700",
"country_code": "US",
"telephone_number": "541-812-5840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDENBERG",
"first_name": "ZACHARY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-06",
"last_updated": "2025-09-11",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "13806-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zvandenbergagency238904@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "400 Hickory St NW Ste 201",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973211700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.