Mindy L Zimmerman, CMT, CLT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14813 Issued in CA

Practice address

45 San Clemente Dr
Suite D100A
Corte Madera, CA 94925-1244

Phone

(415) 450-5345

NPI assigned

Jun 20, 2016

Last updated

Jun 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1841640935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "SUITE D100A",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244",
            "telephone_number": "415-450-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "SUITE D100A",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244",
            "telephone_number": "415-450-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MINDY",
        "middle_name": "L",
        "credential": "CMT, CLT, BCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "14813",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "448245-00",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Young
• Jessy Young, NP
• Julie B Young, DDS
• Mark Richard Zaslav, PH.D.
• Nathan Jerome Zilberg, PH.D.

• Massage Therapist in Corte Madera, CA
• Providers in Corte Madera, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.