Joan E Zachow, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2926 Issued in WI

Practice address

111 Atkinson St
Unit 2
Mukwonago, WI 53149-1439

Phone

(262) 363-3268

Fax

(262) 363-3269

NPI assigned

Oct 12, 2006

Last updated

May 13, 2013By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anatomy Shop Physical Therapy, LLC

  • Physical Therapist
  • Mukwonago, WI
  • NPI 1386733517
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1598854721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST",
            "address_2": "UNIT 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439",
            "telephone_number": "262-363-3268",
            "fax_number": "262-363-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ATKINSON ST",
            "address_2": "UNIT 2",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491439",
            "telephone_number": "262-363-3268",
            "fax_number": "262-363-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHOW",
        "first_name": "JOAN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40457800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Wolf, D.C.
• Jon L Woolever, M.D.
• Sara Wright
• Haley Lynn Yager, STUDENT
• Joshua John Yanzer
• Terry A Zarling, M.D.
• Cheryl Ann Zastrow, BSN
• Alyssa Zielke, P.A.

• Physical Therapist in Mukwonago, WI
• Providers in Mukwonago, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.