Active NPI
Zachary Q Zimmerman, DPT
- Physical Therapist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297134
- Practice address
- 3020 Childrens Way
San Diego, CA 92123-4223 - Phone
- (858) 576-1700
- NPI assigned
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 297134 | CA | |
| Sports Physical Therapist | 2251S0007X | 297134 | CA | |
| Orthopedic Physical Therapist | 2251X0800X | 297134 | CA | |
| Physical Therapy Assistant | 225200000X | 10010 | CA | |
| Physical Therapist | 225100000X | 297134 | CA | Primary |
Addresses
Primary practice location
3020 Childrens Way
San Diego, CA 92123-4223
Mailing address
3958 Riviera Dr
San Diego, CA 92109-5800
Phone (619) 589-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297134 | CA | MD | Neurology Physical Therapist |
| 10010 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| JC Chiropractic, P.C. | Past | Accepting new patients | |
| DPT Holdings PLLC | Physical Therapist | Past | Accepting new patients |
Locations
6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102
19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162
16897 Algonquin St
Ste 101
Huntington Beach, CA 92649
Phone (714) 475-2226
26522 La Alameda
Ste 100
Mission Viejo, CA 92691
Phone (949) 582-2555
2345 E 8th St
Ste 106
National City, CA 91950
Phone (619) 323-2040
12264 El Camino Real
Ste 102
San Diego, CA 92130
Phone (858) 509-9600
3665 Ruffin Rd
Ste 304
San Diego, CA 92123
Phone (619) 930-9750
17150 Via del Campo
Ste 200
San Diego, CA 92127
Phone (858) 381-5084
15000 Kensington Park Dr
Ste 110
Tustin, CA 92782
Phone (657) 859-6458
380 S Melrose Dr
Ste 208
Vista, CA 92081
Phone (760) 643-4086
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.
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1285729509
Physical Therapist
-
- Chiropractor
- Chula Vista, CA
- NPI 1083110274
-
- Physical Therapist
- Plainfield, IL
- NPI 1689648602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1679965875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3958 RIVIERA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921095800",
"telephone_number": "619-589-2606",
"fax_number": "619-464-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ZACHARY",
"middle_name": "Q",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "CA",
"license": "297134",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "297134",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "297134",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "10010",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.