Individual provider Active NPI

Donna Zimmermann, PT3313

  • Physical Therapist
  • Brandon, FL
National Provider Identifier
1629212402
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3313 Issued in FL
Practice address
519 E Bloomingdale Ave Ste B
Brandon, FL 33511-8180
Phone
(813) 684-4500
Fax
(813) 684-0411
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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 PT3313 FL Primary

Addresses

Primary practice location

519 E Bloomingdale Ave Ste B
Brandon, FL 33511-8180

Mailing address

8455 S Suncoast Blvd
Homosassa, FL 34446-5066
Phone (812) 684-4500

Other identifiers 1

IdentifierTypeStateIssuer
106898OtherFLMEDICARE ID

Other names 1

  • Ms. Donna Zimmermann Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3313FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients
TLC Rehab, LLC Physical Therapist Past Accepting new patients
Sullivan Rehab Inc Physical Therapist PastSince Dec 6, 2009 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1629212402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 S SUNCOAST BLVD",
            "city": "HOMOSASSA",
            "state": "FL",
            "postal_code": "344465066",
            "telephone_number": "812-684-4500",
            "fax_number": "813-684-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E BLOOMINGDALE AVE STE B",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118180",
            "telephone_number": "813-684-4500",
            "fax_number": "813-684-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "PT3313",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT3313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "106898",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "ZIMMERMANN",
            "prefix": "MS.",
            "credential": "PT3313",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.