Corey Jason Zimmerman, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0244811 Issued in NY

Practice address

5939 Roosevelt Blvd
Jacksonville, FL 32244

Phone

(904) 412-2882

NPI assigned

Aug 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Optimum HealthCare HMO Network

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

• Lower Manhattan Physical Therapy & Sports Rehab, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1225046899
  NPD (past)
• Lower Manhattan Physical Therapy & Sports Rehab., P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1558403980
  NPD (past)
• Oshman & Barteck Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1740352681
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1164430781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6454 GINNIE SPRINGS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585102",
            "telephone_number": "904-477-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 ROOSEVELT BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32244",
            "telephone_number": "904-412-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Dunn Ave",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322186330",
            "country_code": "US",
            "telephone_number": "904-751-2000",
            "fax_number": "904-751-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "COREY",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0244811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892311600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Zimilevich, MD
• Lisa Marie Zimmer, ARNP
• Jeffrey Scott Zimmerle Jr., MD
• Sterling Zimmerle
• Amber Marie Zimmerman
• Dale F Zimmerman, M.D.
• Frank Henry Zimmerman, DMD
• Jennifer Ann Zimmerman, MS, LAT, ATC
• Kaleigh Zimmerman, LCSW
• Rod S Zimmerman, DDS

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.