Active NPI
Tal Joseph Zimm, OTR/L
- Pediatric Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1033349717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 013877-1
- Practice address
- 6002 New Utrecht Ave
Brooklyn, NY 11219-5026 - Phone
- (718) 633-2605
- Fax
- (347) 789-7843
- NPI assigned
- Jul 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Human Factors Occupational Therapist | 225XH1300X | 013877-1 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 013877-1 | NY | Primary |
Addresses
Primary practice location
6002 New Utrecht Ave
Brooklyn, NY 11219-5026
Mailing address
7533 169TH St
Fresh Meadows, NY 11366-1337
Phone (718) 633-2605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013877-1 | NY | MD | Human Factors Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388361600000",
"number": "1033349717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7533 169TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661337",
"telephone_number": "718-633-2605",
"fax_number": "347-789-7843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 NEW UTRECHT AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195026",
"telephone_number": "718-633-2605",
"fax_number": "347-789-7843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMM",
"first_name": "TAL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-16",
"last_updated": "2013-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "NY",
"license": "013877-1",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "013877-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.