Talia Elyse Zimmerman, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Practice address

3545 Lake Ave Ste 200
Wilmette, IL 60091-1058

Phone

(847) 386-6560

NPI assigned

Jun 14, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Kick Start

  • Occupational Therapist
  • Northfield, IL
  • NPI 1508154212
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1427788306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 JUDSON AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014660",
            "telephone_number": "312-550-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 LAKE AVE STE 200",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911058",
            "telephone_number": "847-386-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "TALIA",
        "middle_name": "ELYSE",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kickstartptn.com",
            "affiliation": "N",
            "address_1": "3545 Lake Ave Ste 200",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600911058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary McAboy Zashin, PH.D.
• Thomas F Zatorski, MD
• Alison Zdarsky
• Fangxi Zhou, L.AC
• Marny Murphy Zimmer, MSW
• Alexandra Katherine Zugaj
• Mark Lawrence Zukowski, MD
• Catherine Elizabeth Zwergel, L.AC

• Pediatric Occupational Therapist in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.