Individual provider Active NPI

Zachary Vandenberg, DPT

  • Physical Therapist
  • Appleton, WI
National Provider Identifier
1578092276
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13806-24 Issued in WI
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.

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 2,187 clinicians

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 100Reported as group
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, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Southern Oregon Orthopedics Inc CurrentSince Jun 1, 2023 Accepting new patients
Orthopaedic Centers of Wisconsin S C Physical Therapist Current Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 3, 2023 Accepting new patients
Excel Physical Therapy LLC CurrentSince Feb 20, 2020 Accepting new patients
Southern Oregon Orthopedics Inc Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Feb 3, 2023 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

  • Direct secure messaging: zvandenbergagency238904@samhealth.direct-ci.com
  • Direct secure messaging: zachary.vandenberg.p7@direct.athleticoltd.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13806-24 WI Primary

Addresses

NPPES NPI Registry

Primary 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
TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.