Healthcare Provider Details

I. General information

NPI: 1841335742
Provider Name (Legal Business Name): JOSHUA ZILM PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N COMMERCIAL ST STE 100
NEENAH WI
54956-3005
US

IV. Provider business mailing address

2105 E ENTERPRISE AVE SUITE 113
APPLETON WI
54913-7862
US

V. Phone/Fax

Practice location:
  • Phone: 920-215-6225
  • Fax:
Mailing address:
  • Phone: 920-991-2561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberIL70013849
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberWI10300-24
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: