Daphne Zimmer Dicharry, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08551 Issued in LA

Practice address

625 S Burnside Ave
Unit 9
Gonzales, LA 70737-3400

Phone

(225) 644-8510

Fax

(225) 644-9736

NPI assigned

Aug 26, 2013

Last updated

Aug 26, 2013By the provider in NPPES

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

Other names 1

• Daphne Michele Zimmer Former name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dicharry Physical Therapy LLC

  dba Kinetix Orthopedic & Sports Therapy

  • Physical Therapist
  • Lutcher, LA
  • NPI 1912417866
  Medicare reassignment NPD Authorized official
• Baton Rouge Orthopaedic Clinic, LLC

  • Physical Therapy Clinic/Center
  • Gonzales, LA
  • NPI 1497033831
  NPD (past)

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1346674405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 1000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-924-2424",
            "fax_number": "225-408-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S BURNSIDE AVE",
            "address_2": "UNIT 9",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707373400",
            "telephone_number": "225-644-8510",
            "fax_number": "225-644-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHARRY",
        "first_name": "DAPHNE",
        "middle_name": "ZIMMER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAPHNE",
            "last_name": "ZIMMER",
            "middle_name": "MICHELE",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monique Desvignes, PHARMD
• Jessica Brianne Dettman, PA
• Maggie Deville, SLP-CCC
• Emily Ann Devillier
• Michael A Dicarlo, PTA
• Allison Dimattia, PT, DPT
• Diversified Medical Services, LLC
• Divine Care Services
• Divine Health Services and Spa
• DND Case Management, LLC

• Physical Therapist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.