Active NPI
Cassandra Zimmerman, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1417498445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 472343
- Practice address
- 9025 NE Fremont St
Portland, OR 97220-5115 - Phone
- (303) 907-3678
- Fax
- (503) 266-8632
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 472343 | OR | Primary |
Addresses
Primary practice location
9025 NE Fremont St
Portland, OR 97220-5115
Mailing address
9025 NE Fremont St
Portland, OR 97220-5115
Phone (303) 907-3678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1336 NW Flanders St
Portland, OR 97209-2645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 472343 | OR | MD | Pediatric Occupational Therapist |
Organizations & group practices 1
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.
-
- Mental Health Occupational Therapist
- Portland, OR
- NPI 1073179776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1417498445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9025 NE FREMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205115",
"telephone_number": "303-907-3678",
"fax_number": "503-266-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 NE FREMONT ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972205115",
"telephone_number": "303-907-3678",
"fax_number": "503-266-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "CASSANDRA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "472343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.