DR. THEODORE PHILLIP ZIAYLEK JR. (NPI# 1235515784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235515784 |
| Entity Type | Individual |
| Full Name | DR. THEODORE PHILLIP ZIAYLEK JR. |
| Credential | DPT |
| Practice Address |
1401 Johnson Ferry Rd Ste 340 Marietta GA 30062-6495 |
| Mailing Address |
33900 Harper Ave Ste 104 Clinton Twp MI 48035-4258 |
| Practice Telephone | 4044917420 |
| Mailing Telephone | 5863502644 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT012045 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1401 JOHNSON FERRY RD STE 340 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033767256 | Deanna Chmielewski | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2019-08-30 |
| 1235786526 | Mark Riggins | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2019-08-21 |
| 1578033874 | Monique Cofino | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2018-11-29 |
| 1871008789 | Team Rehabilitation Ga01, LLC | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2017-12-14 |
| 1982070033 | Stephanie Hendley | Physical Therapist | 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 | 2015-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073656526 | Nikki Lynn Coyne | Physical Therapist | 1015 Laurel Valley Dr Sw, Marietta, GA 30064-3973 | 2007-02-15 |
| 1235449612 | Sidney Lamb Cambardella | Physical Therapist | 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 | 2010-10-19 |
| 1790096097 | Jessica Neff Grussemeyer | Physical Therapist | 670 North Ave Nw, Suite 201, Marietta, GA 30060-1100 | 2010-07-01 |
| 1467780346 | Ann Marie Lowers | Physical Therapist | 401 Matthew St, Suite 210, Marietta, OH 45750-1635 | 2009-12-03 |
| 1366609133 | Kimberly B Lassiter | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2008-05-20 |
| 1194925669 | Jeremy H Campbell | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2007-07-23 |
| 1790714434 | Lauren Elise Connolly | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-07-03 |
| 1295762557 | Avra Lenore Souval | Physical Therapist | 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 | 2006-06-26 |
| 1467416107 | Alison B. Munroe | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2006-04-12 |
| 1396712949 | Tara B. Henderson | Physical Therapist | 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176 | 2006-03-02 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on DR. THEODORE PHILLIP ZIAYLEK JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.