Individual provider Active NPI

Steven Alan Zilke

  • Physical Therapist
  • Fulton, MO
National Provider Identifier
1659404119
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
R1175 Issued in MO
Practice address
710 S Business 54
Fulton, MO 65251-1403
Phone
(573) 642-9999
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6346 MO
Physical Therapist 225100000X R1175 MO Primary

Addresses

Primary practice location

710 S Business 54
Fulton, MO 65251-1403

Mailing address

710 S Business 54
Fulton, MO 65251-1403
Phone (573) 642-9999

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000062 MO Practitioner - Physical Therapist in Private Practice 2365489200 Reassigns benefits to 1 organization
Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mineral Area Pain Center PCGroup PAC ID 0244211605, 3 clinicians

Practice addresses (Care Compare)

608 Maple Valley Dr
Farmington, MO 63640-1976
Phone (573) 756-3400

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6346MOMDChiropractor
R1175MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral Area Pain Center, P.C. Chiropractor CurrentSince Sep 1, 2017 Accepting new patients
Total Health and Rehabilitation Center PC Physical Therapist CurrentSince Aug 1, 2010 Accepting new patients
Total Health and Rehabilitation Center, PC Chiropractor CurrentSince Aug 1, 2010 Accepting new patients
Neighborhood Neuropathy Midwest LLC Physical Therapist CurrentSince May 16, 2023 Accepting new patients
Accident Therapy & Rehab Physical Therapist Past Accepting new patients

Locations

608 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-3400

710 S Business 54
Fulton, MO 65251
Phone (573) 590-0657

8460 Watson Rd
Ste 110A
Saint Louis, MO 63119
Phone (314) 408-8080

Organizations & group practices 5

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1659404119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S BUSINESS 54",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511403",
            "telephone_number": "573-642-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S BUSINESS 54",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652511403",
            "telephone_number": "573-642-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILKE",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "6346",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.