Michael Thomas Zingg, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3893 Issued in OR

Practice address

98158 W Benham LN Ste 10
Brookings, OR 97415-9546

Phone

(541) 286-5516

Fax

(541) 843-1234

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MPT LLC Physical Therapy Professional name

Medicare fee-for-service enrollment

Enrolled in CA, OR2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MPT LLC

  • Physical Therapy Clinic/Center
  • Brookings, OR
  • NPI 1487202362

  CA

  Medicare reassignment NPD Authorized official
• Michael T. Zingg

  • Physical Therapist
  • Crescent City, CA
  • NPI 1417146382
  NPD (past)
• Pacific Northwest Physical Therapy

  • Physical Therapy Clinic/Center
  • Crescent City, CA
  • NPI 1134506454
  NPD (past)
• Pacific Northwest Physical Therapy

  • Physical Therapist
  • Crescent City, CA
  • NPI 1619215407
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1710991625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4939",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150092",
            "telephone_number": "541-286-5516",
            "fax_number": "541-843-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98158 W BENHAM LN STE 10",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974159546",
            "telephone_number": "541-286-5516",
            "fax_number": "541-843-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGG",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3893",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "19213",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063383",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0192130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MPT LLC",
            "last_name": "PHYSICAL THERAPY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michele Youngblood
• Karl Joseph Zack
• Amy Zeller, PSS
• Jessica Sharon Kathleen Zern
• Cindy A Zima, PT

• Physical Therapist in Brookings, OR
• Providers in Brookings, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.