Individual provider Active NPI

Sarah Zimmer, PT, DPT

  • Physical Therapist
  • Boulder, CO
National Provider Identifier
1366956187
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0014746 Issued in CO
Practice address
2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737
Phone
(262) 914-2307
NPI assigned
Dec 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X
Physical Therapist 225100000X PTL.0014746 CO Primary

Addresses

Primary practice location

2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737

Mailing address

2595 Canyon Blvd Ste 150
Boulder, CO 80302-6737
Phone (262) 914-2307

Other practice location 1

6545 W 44th Ave
Wheat Ridge, CO 80033-4749
Phone (262) 914-2307

Other identifiers 2

IdentifierTypeStateIssuer
665892OtherCOMCR PTAN
665892OtherMCR PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000250 CO Practitioner - Physical Therapist in Private Practice 8729333067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2595 Canyon Blvd
Suite 150
Boulder, CO 80302-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0014746COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Ceschin PT DPT LLC Physical Therapist CurrentSince Jun 19, 2019 Accepting new patients
Coal Creek Physical Therapy, LLC Physical Therapist CurrentSince Apr 30, 2018 Accepting new patients
Premier Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2018 Accepting new patients
Premier Physical Therapy Physical Therapist PastSince Sep 17, 2018 Accepting new patients
Coal Creek Diagnostics, LLC PastSince Apr 30, 2018 Accepting new patients

Locations

2595 Canyon Blvd
Ste 150
Boulder, CO 80302
Phone (262) 515-3905

315 W South Boulder Rd
Ste 100
Louisville, CO 80027
Phone (303) 601-6666

3501 Highland Pl
Westminster, CO 80031
Phone (303) 412-7035

5008 W 92nd Ave
Ste A3
Westminster, CO 80031
Phone (303) 412-7035

6545 W 44th Ave
Wheat Ridge, CO 80033
Phone (262) 914-2307

Organizations & group practices 5

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": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1366956187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026737",
            "telephone_number": "262-914-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CANYON BLVD STE 150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026737",
            "telephone_number": "262-914-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 W 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800334749",
            "country_code": "US",
            "telephone_number": "262-914-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "SARAH",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0014746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "665892",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR PTAN",
            "identifier": "665892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.