Individual provider Active NPI

Lisa Zimmerman, MSPT

  • Physical Therapist
  • Annapolis, MD
National Provider Identifier
1700077930
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19795 Issued in MD
Practice address
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Phone
(410) 268-8862
Fax
(410) 280-4701
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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 19795 MD Primary

Addresses

Primary practice location

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742

Mailing address

2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Phone (410) 268-8862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071001000247 MD Practitioner - Physical Therapist in Private Practice 9032204441 Reassigns benefits to 1 organization
I20071005000215 DC Practitioner - Physical Therapist in Private Practice 9032204441

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8375 Jumpers Hole Rd
Suite 202a
Millersville, MD 21108-1272
Phone (443) 494-9009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19795MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LZ PT and Wellness, LLC CurrentSince Sep 21, 2020 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Fitness Forum of Maryland, LLC CurrentSince Feb 18, 2024 Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients
Orthopaedic and Sports Medicine Center LLC Past Accepting new patients

Locations

2448 Holly Ave
Ste 200
Annapolis, MD 21401
Phone (410) 295-4941

2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190

8375 Jumpers Hole Rd
Ste 202A
Millersville, MD 21108
Phone (443) 494-9009

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1700077930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-268-8862",
            "fax_number": "410-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013742",
            "telephone_number": "410-268-8862",
            "fax_number": "410-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LISA",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.