Active NPI
Bradley Thomas Zielaskowski, DPT
- Physical Therapist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017613
- Practice address
- 5925 28TH St SE
Grand Rapids, MI 49546 - Phone
- (616) 977-5700
- Fax
- (616) 942-7100
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070014322 | IL | |
| Physical Therapist | 225100000X | 5501017613 | MI | Primary |
Addresses
Primary practice location
5925 28TH St SE
Grand Rapids, MI 49546
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Northwestern University Feinberg Medical School, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5925 28TH St SE
Grand Rapids, MI 49546-6955
Phone (616) 977-5700
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
17045 Torrence Ave
Unit 300
Lansing, IL 60438
Phone (708) 418-3580
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
7474 E State St
Ste 118
Rockford, IL 61108
Phone (815) 397-4439
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
1801 W Maumee St
Ste 125
Adrian, MI 49221
Phone (517) 264-6141
2570 Jackson Ave
Ste C
Ann Arbor, MI 48103
Phone (734) 823-7820
1940 S Telegraph Rd
Bloomfield Hills, MI 48302
Phone (248) 409-0490
1415 S Main St
Ste B
Eaton Rapids, MI 48827
Phone (517) 781-4999
5925 28th St SE
Grand Rapids, MI 49546
Phone (616) 977-5700
1485 N Michigan Ave
Ste 100
Howell, MI 48843
Phone (517) 545-5880
Interoperability endpoints
- bradley.zielaskowski.p4@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
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": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529280000000",
"number": "1720129547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 OAKMONT LN STE 600C",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595548",
"telephone_number": "630-575-6200",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 28TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-977-5700",
"fax_number": "616-942-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELASKOWSKI",
"first_name": "BRADLEY",
"middle_name": "THOMAS",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2018-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014322",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; 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.