Stephen I. Zimmerman, P.T., D.P.T., PH.D.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003994-1 Issued in NY

Practice address

2421 Grand Ave
Baldwin, NY 11510-3219

Phone

(516) 377-7964

Fax

(516) 377-7760

NPI assigned

Jun 11, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Dr. Stephen I. Zimmerman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Coletta Medical Services, PLLC.

  • Specialist
  • Lynbrook, NY
  • NPI 1053362418
  NPD (past)

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1447254909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103219",
            "telephone_number": "516-377-7964",
            "fax_number": "516-377-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103219",
            "telephone_number": "516-377-7964",
            "fax_number": "516-377-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "STEPHEN",
        "middle_name": "I.",
        "name_prefix": "Mr.",
        "credential": "P.T., D.P.T., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003994-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP PROVIDER #",
            "identifier": "145529P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA",
            "identifier": "46295",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER #",
            "identifier": "6698763",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS PROV. #",
            "identifier": "QM8451",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00336567",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "0731899",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/ORTHONET PROV. #",
            "identifier": "51201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV. #",
            "identifier": "259759",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY PROVIDER #",
            "identifier": "AZ00575",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "ZIMMERMAN",
            "middle_name": "I.",
            "prefix": "DR.",
            "credential": "P.T., D.P.T., PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Muhammad Usman Zaheer, PT, DPT
• Emil Zakutny, D.S.W.
• Vanessa Zampelli, RDN, CDCES, CSOWM
• Zev Brandel MD,PC
• Karen Elizabeth Zimmerman, LMSW
• Jackie Lynn Zuckerman, LCSW

• Physical Therapist in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.