Individual provider Active NPI

Michelle Zygielbaum, PT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1659434041
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19371 Issued in MD
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

Updated by the provider on Jan 9, 2018

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 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

IdentifierTypeStateIssuer
401490100MedicaidMD

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.

Verify at the official NPI Registry.