Kathy M Zimmermann, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003786 Issued in KY

Practice address

350 Radio Park Dr Ste 1
Richmond, KY 40475-2998

Phone

(859) 625-5986

Fax

(859) 625-5987

NPI assigned

Nov 20, 2017

Last updated

Dec 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1699289298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RADIO PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752998",
            "telephone_number": "859-625-5986",
            "fax_number": "859-625-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 RADIO PARK DR STE 1",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752998",
            "telephone_number": "859-625-5986",
            "fax_number": "859-625-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "KATHY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addison Charles Young, DMD
• Delena H Young, A.R.N.P.
• Jessica Young, MS, OTR/L
• Lauren Elise Young, M.S., LPA
• Reba D Ziller, ORT/L

• Physical Therapist in Richmond, KY
• Providers in Richmond, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.