Individual provider Active NPI

Zachary Q Zimmerman, DPT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1679965875
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297134 Issued in CA
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

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20190930001317 CA Practitioner - Physical Therapist in Private Practice 5991035255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297134CAMDNeurology Physical Therapist
10010CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince Sep 30, 2024 Accepting new patients
JC Chiropractic, P.C. PastSince Aug 1, 2019 Accepting new patients
DPT Holdings PLLC Physical Therapist PastSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.