Individual provider Active NPI

Robert Zimmerman

  • Massage Therapist
  • Bend, OR
National Provider Identifier
1477093227
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
28496 Issued in OR
Practice address
628 NW York Dr Ste 205
Bend, OR 97703-1572
Phone
(541) 728-3911
NPI assigned
Feb 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Massage Therapist 225700000X 28496 OR Primary

Addresses

Primary practice location

628 NW York Dr Ste 205
Bend, OR 97703-1572

Mailing address

1853 NW Monterey Pines Dr
Bend, OR 97703-5669
Phone (603) 677-6868

Other practice location 1

11260 Donner Pass Rd
Box 435
Truckee, CA 96161-4848
Phone (603) 677-6868

Other practice location 2

628 NW York Dr Ste 205
Bend, OR 97703-1572
Phone (541) 728-3911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28496ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruann Harmony, LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

628 NW York Dr
Ste 205
Bend, OR 97703
Phone (541) 728-3911

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.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1477093227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 NW MONTEREY PINES DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035669",
            "telephone_number": "603-677-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031572",
            "telephone_number": "541-728-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11260 Donner Pass Rd",
            "address_2": "Box 435",
            "address_purpose": "LOCATION",
            "city": "Truckee",
            "state": "CA",
            "postal_code": "961614848",
            "country_code": "US",
            "telephone_number": "603-677-6868",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "628 NW York Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977031572",
            "country_code": "US",
            "telephone_number": "541-728-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-27",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.