Individual provider Active NPI

Lori Zimmerman, PT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1265491609
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LA00776 Issued in LA
Practice address
770 Gause Blvd Ste F
Slidell, LA 70458-2855
Phone
(985) 649-9123
Fax
(985) 649-9129
NPI assigned
Mar 23, 2006
Last updated
May 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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 0776 LA
Physical Therapist 225100000X LA00776 LA Primary

Addresses

Primary practice location

770 Gause Blvd Ste F
Slidell, LA 70458-2855

Mailing address

1300 W Sam Houston Pkwy S Ste 300
Houston, TX 77042-2453
Phone (713) 297-6792

Other practice location 1

770 Gause Blvd Ste F
Slidell, LA 70458-2855
Phone (985) 649-9123

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

LicenseStateTypeSpecialty
0776LAMDPhysical Therapist
LA00776LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican State Physical Therapy Limited Partnership Past Accepting new patients
Pelican State Physical Therapy Limited Partnership Physical Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1265491609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422453",
            "telephone_number": "713-297-6792",
            "fax_number": "713-430-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 GAUSE BLVD STE F",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582855",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Gause Blvd Ste F",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582855",
            "country_code": "US",
            "telephone_number": "985-649-9123",
            "fax_number": "985-649-9129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "0776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "LA00776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.