DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) – Physical Therapist, NPI 1942659719

DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) is a healthcare provider. based in Saint paul, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, ATR, CSCS. They hold a License No. 10266 (MN). The NPI Number for DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) is 1942659719

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS)
NPI
1942659719
Phone
(507) 440-3327
Address
401 SIBLEY ST
Enumeration Date
12 June 2016
Last Update Date
12 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514299947
Graduation Year
2016 (10 years ago)
PAC ID
8123313616
Group Practice PAC ID
3577736396
Professional Enrollment ID
I20160823001770
Address ID
MN551151812MA688XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

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Provider Addresses for DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS)

  • Sibley Street, Saint Paul, Ramsey County, Minnesota, 55101, United States

    APT. 539

    SAINT PAUL, MN 551011942

    Phone: (507) 440-3327

    Type: Mailing

  • 688, Wildwood Road, Mahtomedi, Washington County, Minnesota, 55115, United States

    MAHTOMEDI, MN 551151812

    Phone: (651) 429-9947

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160823001770IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577736396View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS)?
NPI 1942659719 is assigned to DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) under the national enumeration system.
Is DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS)'s specialty in plain language?
Clinically, the directory lists DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) practice in Minnesota?
You will see Saint Paul, Minnesota on file for DR. MATTHEW MYCHAL ZELLMER (PT, DPT, ATR, CSCS) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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