Reva M Zimmerman, PHD, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL15933 Issued in PA

Practice address

201 Carter Dr Ste 418
West Chester, PA 19382-4998

Phone

(610) 436-2588

NPI assigned

Sep 11, 2015

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

Other names 1

• Reva Robinson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1518335231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CARTER DR STE 418",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824998",
            "telephone_number": "610-436-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CARTER DR STE 418",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193824998",
            "telephone_number": "610-436-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "REVA",
        "middle_name": "M",
        "credential": "PHD, SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL15933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REVA",
            "last_name": "ROBINSON",
            "credential": "SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard W. Ziegler, MD
• Murphy Rose Ziesel Pansulla, DMD
• Megan Ziff, OTR/L
• Jadyn Zimmerman
• Penny A Zimmerman, P.T.
• Miranda Lisa Zito, LAT, ATC, EMT
• Michelle Yuan Zou, DDS, MS
• Kayleigh Zucker
• Amy Zumpano, PTA
• Angela Zurenda, CRNA

• Speech-Language Pathologist in West Chester, PA
• Providers in West Chester, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.