NPIMap

Organization Active NPI

Zeolla Physical Therapy Inc

Doing business as Agoura Hills Physical Therapy

  • Physical Therapist
  • Agoura Hills, CA
National Provider Identifier
1679694798
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17671 Issued in CA
Legal business name
ZEOLLA PHYSICAL THERAPY INC
Doing business as
Agoura Hills Physical Therapy
Practice address
5927 Kanan Road
Agoura Hills, CA 91301-1688
Phone
(818) 889-0158
Fax
(818) 889-4708
NPI assigned
Apr 3, 2007
Last updated
Oct 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Authorized official

Name
Mrs. Michele Alden Zeolla, PTNPI 1114053519
Title
Owner
Phone
(818) 889-0158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT17671 CA Primary

Addresses

Primary practice location

5927 Kanan Road
Agoura Hills, CA 91301-1688

Mailing address

5927 Kanan Road
Agoura Hills, CA 91301-1688
Phone (818) 889-0158

Other identifiers 2

IdentifierTypeStateIssuer
PT176710OtherBLUE SHIELD OF CA
7126624OtherAETNA INS CO

Other names 1

  • Agoura Hills Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000022 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224292776 Receives reassigned benefits from 6 practitioners
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory

Locations

5927 Kanan Rd
Agoura Hills, CA 91301
Phone (818) 889-0158

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1679694798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 KANAN ROAD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158",
            "fax_number": "818-889-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5927 KANAN ROAD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011688",
            "telephone_number": "818-889-0158",
            "fax_number": "818-889-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEOLLA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "ZEOLLA",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-889-0158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT17671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "PT176710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "7126624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agoura Hills Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.