Individual provider Active NPI

Cathleen Elizabeth Zinkus, OTR

  • Pediatric Occupational Therapist
  • Memphis, TN
National Provider Identifier
1831228295
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
000146 Issued in TN
Practice address
4692 Spottswood Ave
Memphis, TN 38117-4822
Phone
(901) 761-0555
Fax
(901) 761-7171
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 000146 TN Primary

Addresses

Primary practice location

4692 Spottswood Ave
Memphis, TN 38117-4822

Mailing address

PO Box 38731
Germantown, TN 38183-0731
Phone (901) 761-0555

Other identifiers 1

IdentifierTypeStateIssuer
5440956MedicaidTN

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

State licenses

LicenseStateTypeSpecialty
000146TNMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831228295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38731",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381830731",
            "telephone_number": "901-761-0555",
            "fax_number": "901-761-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 SPOTTSWOOD AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174822",
            "telephone_number": "901-761-0555",
            "fax_number": "901-761-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKUS",
        "first_name": "CATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "000146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440956",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.