Individual provider Active NPI

Madalyn Zimmerer, PT, DPT

  • Physical Therapist
  • Gainesville, TX
National Provider Identifier
1699512798
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1398886 Issued in TX
Practice address
905 E Highway 82 Ste 130
Gainesville, TX 76240-2269
Phone
(940) 612-1821
Fax
(940) 612-1837
NPI assigned
Jul 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 1398886 TX Primary

Addresses

Primary practice location

905 E Highway 82 Ste 130
Gainesville, TX 76240-2269

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918002379 TX Practitioner - Physical Therapist in Private Practice 6305387358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

905 E Hwy 82 130
Peak PT Gainsville
Gainesville, TX 76240-2267
Phone (940) 612-1821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1398886TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Peak Physical Therapy, LLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1335 E Whitestone Blvd
#100
Cedar Park, TX 78613
Phone (512) 539-0032

104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390

905 E Highway 82
Ste 130
Gainesville, TX 76240
Phone (940) 612-1821

10100 Katy Fwy
Ste 170
Houston, TX 77043
Phone (832) 795-9175

2735 Town Center Blvd N
Ste N
Sugar Land, TX 77479
Phone (281) 728-7734

5601 Brodie Ln
Sunset Valley, TX 78745
Phone (512) 580-3055

Organizations & group practices 4

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1699512798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E HIGHWAY 82 STE 130",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402269",
            "telephone_number": "940-612-1821",
            "fax_number": "940-612-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERER",
        "first_name": "MADALYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1398886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.