Individual provider Active NPI

Katie Kristin Zimmerman, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1871553214
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008976 Issued in MI
Practice address
4748 Washtenaw Ave
Ann Arbor, MI 48108-1497
Phone
(734) 434-1100
Fax
(734) 434-6410
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008976 MI Primary

Addresses

Primary practice location

4748 Washtenaw Ave
Ann Arbor, MI 48108-1497

Mailing address

4748 Washtenaw Ave
Ann Arbor, MI 48108-1497
Phone (734) 434-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000276 MI Practitioner - Chiropractic 7618929738 Reassigns benefits to 1 organization
I20211021002307 DC Practitioner - Chiropractic 7618929738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Back to Health CenterGroup PAC ID 6406893650, 2 clinicians

Practice addresses (Care Compare)

1414 Prince St
Suite 100
Alexandria, VA 22314-2853
Phone (703) 683-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Center Chiropractor CurrentSince Sep 20, 2021 Accepting new patients
Klapp Chiropractic Life Center, LLC Chiropractor PastSince Jun 21, 2016 Accepting new patients

Locations

1414 Prince St
Ste 100
Alexandria, VA 22314
Phone (703) 683-7771

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1871553214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4748 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081497",
            "telephone_number": "734-434-1100",
            "fax_number": "734-434-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4748 WASHTENAW AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081497",
            "telephone_number": "734-434-1100",
            "fax_number": "734-434-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KATIE",
        "middle_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.