Individual provider Active NPI

Maria Therese Zanoni, P.T.

  • Orthopedic Physical Therapist
  • Elm Grove, WI
National Provider Identifier
1811043755
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2879-024 Issued in WI
Practice address
890 Elm Grove Rd
Suite 104B
Elm Grove, WI 53122-2528
Phone
(262) 784-2476
Fax
(262) 784-5472
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2879-024 WI Primary

Addresses

Primary practice location

890 Elm Grove Rd
Suite 104B
Elm Grove, WI 53122-2528

Mailing address

962 N 124TH St
Wauwatosa, WI 53226-3317
Phone (414) 476-6474

Other identifiers 1

IdentifierTypeStateIssuer
40113500MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000035 WI Practitioner - Physical Therapist in Private Practice 1557398674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 Elm Grove Rd
Suite 104B
Elm Grove, WI 53122-2528
Phone (262) 784-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2879-024WIMDOrthopedic Physical Therapist
2879WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Zanoni Physical Therapy Inc Orthopedic CurrentSince Jan 1, 2001 Accepting new patients

Locations

890 Elm Grove Rd
Ste 104B
Elm Grove, WI 53122
Phone (262) 784-2476

Organizations & group practices 1

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1811043755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 N 124TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263317",
            "telephone_number": "414-476-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 ELM GROVE RD",
            "address_2": "SUITE 104B",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222528",
            "telephone_number": "262-784-2476",
            "fax_number": "262-784-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANONI",
        "first_name": "MARIA",
        "middle_name": "THERESE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "2879-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40113500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elm Grove, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.