Individual provider Active NPI

Robert R Zimmerman, PT

  • Physical Therapist
  • Tallmadge, OH
National Provider Identifier
1720078249
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT03997 Issued in OH
Practice address
85 Community Rd Ste D
Tallmadge, OH 44278-2356
Phone
(330) 630-0630
Fax
(330) 630-9799
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 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 PT03997 OH Primary

Addresses

Primary practice location

85 Community Rd Ste D
Tallmadge, OH 44278-2356

Mailing address

2717 S Arlington Rd Ste a
Akron, OH 44312-4725
Phone (330) 245-1372

Other identifiers 2

IdentifierTypeStateIssuer
PT03997OtherOHOHIO OT PT ATC BOARD
2668519MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621002013 OH Practitioner - Physical Therapist in Private Practice 6507757192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy and Sportscare Centers, Inc.Group PAC ID 6406859453, 3 clinicians

Practice addresses (Care Compare)

2717 S Arlington Rd
Suite a
Akron, OH 44312-4725
Phone (330) 245-1791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT03997OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Sportscare Centers, Inc. Physical Therapist CurrentSince Aug 1, 2006 Accepting new patients
Portage Physical Therapist Physical Therapist Past Accepting new patients
Donald L. Fisher M.D. Inc. Physical Therapist Past Accepting new patients

Locations

2717 S Arlington Rd
Ste A
Akron, OH 44312
Phone (330) 245-1791

18 Tallmadge Cir
Tallmadge, OH 44278
Phone (330) 630-0630

85 Community Rd
Ste D
Tallmadge, OH 44278
Phone (330) 630-0630

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1720078249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 S ARLINGTON RD STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124725",
            "telephone_number": "330-245-1372",
            "fax_number": "330-245-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 COMMUNITY RD STE D",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782356",
            "telephone_number": "330-630-0630",
            "fax_number": "330-630-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT03997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO OT PT ATC BOARD",
            "identifier": "PT03997",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2668519",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.