Individual provider Active NPI

Jodi Zimmerschied, OTA

  • Occupational Therapy Assistant
  • Fruita, CO
National Provider Identifier
1700201522
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0000325 Issued in CO
Practice address
300 W Ottley Ave
Fruita, CO 81521
Phone
(970) 858-2575
Fax
(970) 858-4569
NPI assigned
Mar 3, 2014
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0000325 CO Primary

Addresses

Primary practice location

300 W Ottley Ave
Fruita, CO 81521

Mailing address

PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186

Other practice location 1

4686 E Asbury Cir
Denver, CO 80222-4723
Phone (303) 300-8865

Other practice location 2

551 Kokopelli Blvd Unit E
Fruita, CO 81521-6305
Phone (970) 858-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1700201522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815210130",
            "telephone_number": "970-858-2186",
            "fax_number": "970-858-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W OTTLEY AVE",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "81521",
            "telephone_number": "970-858-2575",
            "fax_number": "970-858-4569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4686 E Asbury Cir",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802224723",
            "country_code": "US",
            "telephone_number": "303-300-8865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "551 Kokopelli Blvd Unit E",
            "address_purpose": "LOCATION",
            "city": "Fruita",
            "state": "CO",
            "postal_code": "815216305",
            "country_code": "US",
            "telephone_number": "970-858-2575",
            "fax_number": "970-858-4569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERSCHIED",
        "first_name": "JODI",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.