Individual provider Active NPI

Elizabeth Mary Zimmermann, OTR/L, MS, BS

  • Occupational Therapist
  • Centennial, CO
National Provider Identifier
1689174138
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
8047 Issued in CO
Practice address
6851 S Holly Cir Ste 290
Centennial, CO 80112-1076
Phone
(720) 542-8737
NPI assigned
Feb 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 8047 CO Primary

Addresses

Primary practice location

6851 S Holly Cir Ste 290
Centennial, CO 80112-1076

Mailing address

6851 S Holly Cir Ste 290
Centennial, CO 80112-1076
Phone (720) 542-8737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320000445 NJ Practitioner - Occupational Therapist in Private Practice 1557623162 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
8047COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Speech Therapy Associates CurrentSince Apr 28, 2024 Accepting new patients
Fox Rehabilitation Services Inc Occupational Therapist CurrentSince Feb 26, 2018 Accepting new patients
Pediatric Speech Therapy Associates PastSince Apr 28, 2024 Accepting new patients

Locations

6851 S Holly Cir
Ste 290
Centennial, CO 80112
Phone (205) 428-7377

7 Carnegie Plz
Cherry Hill, NJ 08003

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1689174138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121076",
            "telephone_number": "720-542-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "OTR/L, MS, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "8047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.