Individual provider Active NPI

Samantha Emily Zimmermann, DPT

  • Physical Therapist
  • Windham, NH
National Provider Identifier
1174964688
Registry record updated Apr 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3760 Issued in NH
Practice address
55 Enterprise Dr
Windham, NH 03087-2031
Phone
(603) 210-9383
Fax
(603) 894-6443
NPI assigned
Jul 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 20364 MA
Physical Therapist 225100000X 3760 NH Primary

Addresses

Primary practice location

55 Enterprise Dr
Windham, NH 03087-2031

Mailing address

55 Enterprise Dr Ste 16
Windham, NH 03087-2031
Phone (603) 210-9383

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
20364MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Care Physical Therapy CurrentSince Dec 15, 2024 Accepting new patients

Locations

55 Enterprise Dr
Windham, NH 03087
Phone (603) 210-9383

55 Enterprise Dr
Ste 16
Windham, NH 03087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713052800000",
    "number": "1174964688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ENTERPRISE DR STE 16",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872031",
            "telephone_number": "603-210-9383",
            "fax_number": "603-894-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ENTERPRISE DR",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030872031",
            "telephone_number": "603-210-9383",
            "fax_number": "603-894-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "SAMANTHA",
        "middle_name": "EMILY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2024-04-14",
        "certification_date": "2024-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "20364",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2024; 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.