Individual provider Active NPI

Matthew John Zoelling, PT,DPT

  • Physical Therapist
  • Rochester Hills, MI
National Provider Identifier
1619588902
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501019650 Issued in MI
Practice address
2130 Austin Ave
Rochester Hills, MI 48309-3667
Phone
(248) 805-1540
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501019650 MI Primary

Addresses

Primary practice location

2130 Austin Ave
Rochester Hills, MI 48309-3667

Mailing address

38755 Plainview Dr
Sterling Heights, MI 48312-1444
Phone (586) 817-1710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812000449 MI Practitioner - Physical Therapist in Private Practice 8820596653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501019650MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Rep Physical Therapy and Sports Rehabilitation LLC Physical Therapist CurrentSince Jun 15, 2025 Accepting new patients

Locations

48910 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 817-1710

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1619588902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38755 PLAINVIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121444",
            "telephone_number": "586-817-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 AUSTIN AVE",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093667",
            "telephone_number": "248-805-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLING",
        "first_name": "MATTHEW",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.