Provider Demographics
NPI:1801784723
Name:ZINGALE, NINA (PT, DPT)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:
Last Name:ZINGALE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:RADJENOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:S74W15544 KNOLLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-7949
Mailing Address - Country:US
Mailing Address - Phone:414-731-4047
Mailing Address - Fax:
Practice Address - Street 1:36500 AURORA DR FL 2
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:WI
Practice Address - Zip Code:53066-4899
Practice Address - Country:US
Practice Address - Phone:262-434-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1733924225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist