Active NPI
Deborah J Zimmerman, PT
- Pediatric Physical Therapist
- Monroe, NC
National Provider Identifier
1780906149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 5744
- Practice address
- 4405 Sardis Church Road
Childworks Therapy, LLC
Monroe, NC 28110-7998 - Phone
- (704) 575-2670
- Fax
- (704) 882-7645
- NPI assigned
- Feb 25, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 5744 | NC | Primary |
Addresses
Primary practice location
4405 Sardis Church Road
Childworks Therapy, LLC
Monroe, NC 28110-7998
Mailing address
8257 Tradd Court
Childworks Therapy, LLC
Charlotte, NC 28210-7297
Phone (704) 575-2670
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childworks Therapy, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1267056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267056000000",
"number": "1780906149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8257 TRADD COURT",
"address_2": "CHILDWORKS THERAPY, LLC",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282107297",
"telephone_number": "704-575-2670",
"fax_number": "704-553-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 SARDIS CHURCH ROAD",
"address_2": "CHILDWORKS THERAPY, LLC",
"city": "MONROE",
"state": "NC",
"postal_code": "281107998",
"telephone_number": "704-575-2670",
"fax_number": "704-882-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "DEBORAH",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NC",
"license": "5744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.