Active NPI
Christine Mae Zimmer, PTA
- Physical Therapy Assistant
- Ironwood, MI
National Provider Identifier
1194024067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5502000988
- Practice address
- 634 E Ayer St
Ironwood, MI 49938-2206 - Phone
- (906) 932-2006
- NPI assigned
- Mar 17, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5502000988 | MI | Primary |
| Physical Therapy Assistant | 225200000X | 1673-19 | WI |
Addresses
Primary practice location
634 E Ayer St
Ironwood, MI 49938-2206
Mailing address
431 Wisconsin Ave
Ontonagon, MI 49953-1344
Phone (906) 884-2354
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 |
|---|---|---|---|
| 5502000988 | MI | MD | Physical Therapy Assistant |
| 1673-19 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. | Past | Accepting new patients | |
| U.P. Eldercare, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Aspirus Palliative Medicine - Michigan
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300320000000",
"number": "1194024067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 WISCONSIN AVE",
"city": "ONTONAGON",
"state": "MI",
"postal_code": "499531344",
"telephone_number": "906-884-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 E AYER ST",
"city": "IRONWOOD",
"state": "MI",
"postal_code": "499382206",
"telephone_number": "906-932-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "CHRISTINE",
"middle_name": "MAE",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-17",
"last_updated": "2011-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MI",
"license": "5502000988",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WI",
"license": "1673-19",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ironwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.