Active NPI
Robert R Zimmerman, PT
- Physical Therapist
- Tallmadge, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03997
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT03997 | Other | OH | OHIO OT PT ATC BOARD |
| 2668519 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT03997 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy & Sportscare Centers, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Akron, OH
- NPI 1114976024
-
- Physical Therapist
- Barberton, OH
- NPI 1164563011
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.