Provider Demographics
NPI:1033105648
Name:PETER S ZIELINSKI PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:PETER S ZIELINSKI PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:ZIELINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-445-9843
Mailing Address - Street 1:181 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1110
Mailing Address - Country:US
Mailing Address - Phone:203-445-9843
Mailing Address - Fax:203-445-9847
Practice Address - Street 1:181 MAIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1110
Practice Address - Country:US
Practice Address - Phone:203-445-9843
Practice Address - Fax:203-445-9847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
50ZIELINSCT01OtherBLUE CROSS GROUP
G1101768OtherOXFORD
2V5870OtherHEALTH NET
C02597OtherMEDICARE
2270493OtherAETNA
37901OtherORTHO NET
=========OtherCIGNA FACILITY 9906497
=========OtherUNITED HEALTHCARE