Jeep Zimmer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA1796 Issued in NM

Practice address

3830 Commons Ave NE
Albuquerque, NM 87109-5831

Phone

(505) 424-1239

Fax

(505) 808-7278

NPI assigned

Sep 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1760154470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CHAPALA PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871114922",
            "telephone_number": "512-905-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 COMMONS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095831",
            "telephone_number": "505-424-1239",
            "fax_number": "505-808-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "JEEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kenneth Ziemke
• Crystal Ziff
• Jordan Lemay Zilavy, CNP
• Eric H. Zimak, PH.D.
• Daniela Rose-Marie Zimmer, D.D.S.
• Sierra Maeann Zimmer, PA-C
• William Dean Zimmer, MD
• Jessica M. Zimmerberg-Helms, MD
• Aurora Virgen Zink, DDS
• Rosemary Zink, CNP

• Physical Therapy Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.