Individual provider Active NPI

Michaela Zimmerman

  • Physical Therapist
  • Belmont, MA
National Provider Identifier
1770477531
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
431 Trapelo Rd
Belmont, MA 02478-1417
Phone
(617) 932-1027
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 MA Primary

Addresses

Primary practice location

431 Trapelo Rd
Belmont, MA 02478-1417

Mailing address

61 Country Club Circle
North Andover, MA 01845

Other practice location 1

1600 Osgood St Ste 2085
North Andover, MA 01845-1058
Phone (978) 688-6181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815002154 MA Practitioner - Physical Therapist in Private Practice 8123527389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Off-Season Sports and Physical Therapy, IncGroup PAC ID 6507050416, 2 clinicians

Practice addresses (Care Compare)

1600 Osgood St
Suite 2085
North Andover, MA 01845-1048
Phone (978) 688-6811

431 Trapelo Rd
Unit 2
Belmont, MA 02478-1417
Phone (617) 932-1027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Performance Physical Therapy and Sports Medicine, L.L.C. CurrentSince Dec 1, 2025 Accepting new patients
Premier Performance Physical Therapy and Sports Medicine, L.L.C. Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Off-Season Sports & Physical Therapy Inc Physical Therapist CurrentSince Jun 10, 2025 Accepting new patients

Locations

50 Beharrell St
Concord, MA 01742
Phone (617) 932-1027

1600 Osgood St
Ste 2085
North Andover, MA 01845
Phone (978) 688-6181

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1770477531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 COUNTRY CLUB CIRCLE",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 TRAPELO RD",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781417",
            "telephone_number": "617-932-1027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Osgood St Ste 2085",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "018451058",
            "country_code": "US",
            "telephone_number": "978-688-6181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.