Individual provider Active NPI

Laura Zimmermann, DPT

  • Physical Therapist
  • Bensalem, PA
National Provider Identifier
1366083503
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01892600 Issued in NJ
Practice address
2641 Street Rd
Bensalem, PA 19020-2865
Phone
(267) 525-0135
Fax
(215) 639-6907
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 40QA01892600 NJ
Sports Physical Therapist 2251S0007X 40QA01892600 NJ
Orthopedic Physical Therapist 2251X0800X 40QA01892600 NJ
Physical Therapist 225100000X 40QA01892600 NJ Primary

Addresses

Primary practice location

2641 Street Rd
Bensalem, PA 19020-2865

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

108 Swedesboro Rd Ste 10
Mullica Hill, NJ 08062-1800
Phone (856) 223-8898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818000337 PA Practitioner - Physical Therapist in Private Practice 6002148806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

2641 St Rd
Bensalem, PA 19020-2865
Phone (267) 525-0135

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01892600NJMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 22, 2023 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 22, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1301 Bristol Pike
Ste B
Bensalem, PA 19020
Phone (215) 645-9065

2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135

28 E Ridge Pike
#A3
Conshohocken, PA 19428
Phone (484) 533-2692

775 Huntingdon Pike
Huntingdon Valley, PA 19006
Phone (215) 690-5575

169 Levittown Pkwy
Ste D
Levittown, PA 19055
Phone (215) 377-9932

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

180 W Girard Ave
Ste 1
Philadelphia, PA 19123
Phone (267) 592-4033

468 2nd Street Pike
Southampton, PA 18966
Phone (215) 876-6692

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1366083503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 STREET RD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202865",
            "telephone_number": "267-525-0135",
            "fax_number": "215-639-6907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Swedesboro Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080621800",
            "country_code": "US",
            "telephone_number": "856-223-8898",
            "fax_number": "856-223-8799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "LAURA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NJ",
            "license": "40QA01892600",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NJ",
            "license": "40QA01892600",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA01892600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01892600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.