Active NPI
Matthew John Zoelling, PT,DPT
- Physical Therapist
- Rochester Hills, MI
National Provider Identifier
1619588902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501019650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501019650 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Rep Physical Therapy and Sports Rehabilitation LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Shelby Township, MI
- NPI 1467262972
Physical Therapist
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.