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DR. THEODORE PHILLIP ZIAYLEK JR. DPT
NPI 1235515784
Physical Therapist - Orthopedic in Marietta, GA

Active since August 07, 2015Accepts Medicare Assignment
83.53/100
CMS Quality Rating
1401 JOHNSON FERRY RD STE 340, MARIETTA, GA 30062(404) 491-7420 Get Directions Write a Review

NPPES record last updated: January 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theodore Phillip Ziaylek Jr. Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE PHILLIP ZIAYLEK JR. DPT (NPI 1235515784) is an individual orthopedic provider in Marietta, Georgia, licensed in Georgia (PT012045) and active in the NPI registry since August 2015. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1235515784
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameDR. THEODORE PHILLIP ZIAYLEK JR.Credential: DPT
Location Address1401 JOHNSON FERRY RD STE 340Marietta, GA 30062-6495
Mailing Address33900 Harper Ave Ste 104Clinton Twp, MI 48035-4258 · (586) 350-2644
Phone(404) 491-7420
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2015
Last NPPES UpdateJanuary 3, 2018
✔ NPI 1235515784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · PT012045
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1401 JOHNSON FERRY RD STE 340, Marietta, GA 30062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Phillip Ziaylek Jr. Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183933856
PECOS Enrollment IDI20151020000902

Medicare Billing Reassignments

2

Medicare enrollment records show Theodore Ziaylek reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Team Rehabilitation Services, LLC
0.2 mi
Physical Therapist
1401 JOHNSON FERRY RD STE 340
Marietta, GA 30062
  • Reassigned Medicare billing, Georgia enrollment
  • 154 clinicians in this Medicare group
NPI 1508538158 (404) 491-7420
Westside Physical Therapy, LLC
13 mi
Orthopedic
1695 MARIETTA BLVD NW, AT ATLANTA BALLET
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1669862769 (404) 382-8702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
297 services71 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
280 services77 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
254 services73 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
206 services63 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
24 services24 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
13 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.62
Improvement Activities40

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER ANTHONY NELSON DPT
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
MARK RIGGINS DPT
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
TEAM REHABILITATION SERVICES, LLC
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
KENNEDY EZZELL WELSH DPT
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
MONIQUE COFINO PT, DPT, CERT. DN
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
PEYTON CARD PTA
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
LORENZO NAVE DPT
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420
MRS. STEPHANIE HENDLEY PT, DPT
Physical Therapist
1401 JOHNSON FERRY RD STE 340
MARIETTA, GA 30062
Cobb County (404) 491-7420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Ziaylek's NPI number?

The NPI number for Theodore Ziaylek is 1235515784. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Theodore Ziaylek located?

Theodore Ziaylek practices at 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062. The listed phone number is (404) 491-7420.

What is Theodore Ziaylek's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Theodore Ziaylek enrolled in Medicare?

Yes. Theodore Ziaylek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Theodore Ziaylek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Ziaylek reassigns Medicare benefits to 2 organizations: Team Rehabilitation Services, LLC (Marietta, GA) and Westside Physical Therapy, LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Ziaylek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Ziaylek accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Theodore Ziaylek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Ziaylek was last updated on January 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.