Shanie Lynn Zimmerman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0014808 Issued in CO

Practice address

6802 Esmeralda Dr
Castle Rock, CO 80108-9707

Phone

(847) 567-1697

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1295491132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 ESMERALDA DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089707",
            "telephone_number": "847-567-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 ESMERALDA DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089707",
            "telephone_number": "847-567-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SHANIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0014808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szimmerman@ensign.net",
            "affiliation": "N",
            "address_1": "6802 Esmeralda Dr",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801089707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szimmerman@ensign.net",
            "affiliation": "N",
            "address_1": "6802 Esmeralda Dr",
            "city": "Castle Rock",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801089707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Taylor Yuan, MD
• Sarah Zabor
• Laura Zagrocki, DPM
• Melissa Zart, M.D.
• Claire Zea
• Laurie Zinicola, COTA
• John Zivojinovic, PH.D.
• Jamie M Zornes, CSW.09924416
• Victoria Angela Theresa Zuniga
• Jordan Alanna Zwart, FNP-C

• Physical Therapy Assistant in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.