Individual provider Active NPI

Karen Jean Zima, OTR

  • Occupational Therapist
  • Greenfield, WI
National Provider Identifier
1386837417
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
649-026 Issued in WI
Practice address
4646 S 36TH St
Greenfield, WI 53221-2008
Phone
(414) 281-9873
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 649-026 WI Primary

Addresses

Primary practice location

4646 S 36TH St
Greenfield, WI 53221-2008

Mailing address

4646 S 36TH St
Greenfield, WI 53221-2008
Phone (414) 281-9873

Other identifiers 1

IdentifierTypeStateIssuer
40600000MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027001656 WI Practitioner - Occupational Therapist in Private Practice 3870949803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Homes of Wisconsin IncGroup PAC ID 7618341439, 38 clinicians

Practice addresses (Care Compare)

S67W14765 Janesville Rd
Muskego, WI 53150-5625
Phone (651) 631-6570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
649-026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Homes of Wisconsin, Inc. Occupational Therapist Current Accepting new patients
Presbyterian Homes of Wisconsin, Inc. Occupational Therapist CurrentSince Oct 16, 2023 Accepting new patients
Presbyterian Homes of Wisconsin, Inc. Occupational Therapist CurrentSince Oct 16, 2023 Accepting new patients

Locations

2845 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 631-6100

Organizations & group practices 3

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187740800000",
    "number": "1386837417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 S 36TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212008",
            "telephone_number": "414-281-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 S 36TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212008",
            "telephone_number": "414-281-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMA",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "649-026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40600000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.