Individual provider Active NPI

Edward D Zimmerman, PT

  • Physical Therapist
  • Richboro, PA
National Provider Identifier
1568456556
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007019L Issued in PA
Practice address
100 Almshouse Rd
Richboro, PA 18954-1108
Phone
(215) 357-2000
Fax
(215) 357-8499
NPI assigned
Sep 6, 2005
Last updated
Sep 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007019L PA Primary

Addresses

Primary practice location

100 Almshouse Rd
Richboro, PA 18954-1108

Mailing address

100 Almshouse Rd
Richboro, PA 18954-1108
Phone (215) 357-2000

Other identifiers 1

IdentifierTypeStateIssuer
733283OtherPAPA BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000962 PA Practitioner - Physical Therapist in Private Practice 6305819111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bucks Physical and Sports Rehabilitation LLCGroup PAC ID 0042101347, 29 clinicians

Practice addresses (Care Compare)

100 Almshouse Rd
Richboro, PA 18954-1108
Phone (215) 357-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007019LPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bucks Physical & Sports Rehabilitation LLC Physical Therapist CurrentSince Aug 2, 2004 Accepting new patients
Bucks Physical & Sports Rehabilitation Physical Therapist PastSince Aug 2, 2004 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

100 Almshouse Rd
Richboro, PA 18954
Phone (215) 357-2000

327 York Rd
Warminster, PA 18974
Phone (215) 672-7373

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189728000000",
    "number": "1568456556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALMSHOUSE RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541108",
            "telephone_number": "215-357-2000",
            "fax_number": "215-357-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALMSHOUSE RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541108",
            "telephone_number": "215-357-2000",
            "fax_number": "215-357-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "EDWARD",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "007019L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "733283",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.