Elizabeth Anna Zimmerman, M.S.O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 4110 Issued in CA

Practice address

3657 Blueberry Hill Dr
Shingle Springs, CA 95682-8885

Phone

(530) 677-5492

Fax

(530) 677-5492

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lollie Anna Zimmerman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Assisted Living Therapies

  • Assisted Living Facility
  • Shingle Springs, CA
  • NPI 1285735084
  NPD Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477654275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 BLUEBERRY HILL DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828885",
            "telephone_number": "530-677-5492",
            "fax_number": "530-677-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 BLUEBERRY HILL DR",
            "city": "SHINGLE SPRINGS",
            "state": "CA",
            "postal_code": "956828885",
            "telephone_number": "530-677-5492",
            "fax_number": "530-677-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "M.S.O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOLLIE",
            "last_name": "ZIMMERMAN",
            "middle_name": "ANNA",
            "prefix": "MRS.",
            "credential": "M.S.O.T.R.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Felecia Valdez
• Katherine Velez, MA, LMFT
• Courtney Lauren Wheeler, DPT
• Lisa Woods, PPS
• David Yates, MFT

• Occupational Therapist in Shingle Springs, CA
• Providers in Shingle Springs, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.