DONALD PAUL ZELNA P.T.
NPI 1316135908
Physical Therapist in Cary, NC

Active since October 09, 2007Accepts Medicare Assignment
222 ASHVILLE AVE, SUITE 20, CARY, NC 27518(919) 863-5924(919) 863-5923 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donald Paul Zelna P.t. NPPES

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

DONALD PAUL ZELNA P.T. (NPI 1316135908) is an individual physical therapist in Cary, North Carolina, licensed in North Carolina (8275) and active in the NPI registry since October 2007. He is a graduate of Other (2000).

NPPES Registry Identity

NPI1316135908
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDONALD PAUL ZELNACredential: P.T.
Location Address222 ASHVILLE AVE, SUITE 20Cary, NC 27518-6130
Mailing Address3001 Edwards Mill Rd, 200Raleigh, NC 27612-5243 · (919) 781-4060 · Fax (919) 781-5246
Fax(919) 863-5923
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 9, 2007
Last NPPES UpdateSeptember 15, 2015
NPI 1316135908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · 8275
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
222 ASHVILLE AVE, Cary, NC 27518

Other Identifiers 1

Medicaid3400090NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donald Paul Zelna P.t. 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 ID4486793817
PECOS Enrollment IDI20091125000006

Areas of Expertise CMS Part B claims 3

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.
1,214 services79 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.
476 services74 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.
75 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%72 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Emergency Medicine
222 ASHVILLE AVE
CARY, NC 27518
Family Medicine
222 ASHVILLE AVE
CARY, NC 27518
Family Medicine
222 ASHVILLE AVE
CARY, NC 27518
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Physical Therapist
222 ASHVILLE AVE, SUITE 20
CARY, NC 27518
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Physician Assistant
222 ASHVILLE AVE
CARY, NC 27518
Naturopath
222 ASHVILLE AVE, SUITE 10
CARY, NC 27518

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 Donald Zelna's NPI number?

The NPI number for Donald Zelna is 1316135908. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Donald Zelna located?

Donald Zelna practices at 222 Ashville Ave Suite 20, Cary, NC 27518. The listed phone number is (919) 863-5924.

What is Donald Zelna's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Donald Zelna enrolled in Medicare?

Yes. Donald Zelna 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.

What insurance does Donald Zelna accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Donald Zelna 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 Donald Zelna was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.