Ilissa Geneen Zimmerman, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

15853 Issued in FL

Practice address

595 E El Paso Ave Apt 201
Fresno, CA 93720-2808

Phone

(561) 951-3472

NPI assigned

Sep 14, 2018

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1861975823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E EL PASO AVE APT 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202808",
            "telephone_number": "561-951-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E EL PASO AVE APT 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202808",
            "telephone_number": "561-951-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ILISSA",
        "middle_name": "GENEEN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3992",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "15853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Lynn Ziebell
• Emily Ziegler
• Danielle Ziff, LMFT 97630
• Narine Zilfugharyan, LCSW
• Izet Paola Zillman Valenzuela
• Kaitlin R Zimmerman
• Khin Moh Moh Zin, M.D.
• Samuel Zingale
• Evany D. Zirul, DO
• Latif Ziyar, M.D.

• Occupational Therapy Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.