Individual provider Active NPI

Roxanne Maanum Zilmer, MSPT, DPT, OCS

  • Physical Therapist
  • Palos Verdes Peninsula, CA
National Provider Identifier
1073738332
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-20705 Issued in CA
Practice address
26854 Westvale Rd
Palos Verdes Peninsula, CA 90274-4050
Phone
(310) 503-8518
NPI assigned
Apr 13, 2007
Last updated
Jul 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-20705 CA Primary

Addresses

Primary practice location

26854 Westvale Rd
Palos Verdes Peninsula, CA 90274-4050

Mailing address

26854 Westvale Rd
Palos Verdes Peninsula, CA 90274-4050
Phone (310) 503-8518

Other identifiers 1

IdentifierTypeStateIssuer
13556501OtherCACAQH

Other names 1

  • Miss Roxanne Lee Maanum Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT-20705CAMDPhysical Therapist
20705CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc Past Accepting new patients
South Bay Orthopaedic Specialists Medical Center a Medical Partnership PastSince Oct 1, 2001 Accepting new patients
Redondo Orthopedic Physical Therapy Physical Therapist PastSince Jan 1, 2016 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1073738332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26854 WESTVALE RD",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902744050",
            "telephone_number": "310-503-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26854 WESTVALE RD",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902744050",
            "telephone_number": "310-503-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILMER",
        "first_name": "ROXANNE",
        "middle_name": "MAANUM",
        "name_prefix": "Dr.",
        "credential": "MSPT, DPT, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT-20705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13556501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "MAANUM",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palos Verdes Peninsula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.