Active NPI
Michelle Zygielbaum, PT
- Physical Therapist
- Bethesda, MD
National Provider Identifier
1659434041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19371
- Practice address
- 5411 W Cedar LN
Suite 105a
Bethesda, MD 20814-1516 - Phone
- (301) 564-4040
- Fax
- (301) 564-3604
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- 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 | 19371 | MD | Primary |
Addresses
Primary practice location
5411 W Cedar LN
Suite 105a
Bethesda, MD 20814-1516
Mailing address
501 Fairmount Ave Ste 302
Towson, MD 21286-5494
Phone (410) 927-8768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 401490100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515456000000",
"number": "1659434041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 FAIRMOUNT AVE STE 302",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865494",
"telephone_number": "410-927-8768",
"fax_number": "410-648-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 W CEDAR LN",
"address_2": "SUITE 105A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141516",
"telephone_number": "301-564-4040",
"fax_number": "301-564-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYGIELBAUM",
"first_name": "MICHELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2018-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401490100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.