Individual provider Active NPI

Andrew Zimmerman, DPT

  • Physical Therapist
  • Fargo, ND
National Provider Identifier
1871915033
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1816 Issued in ND
Practice address
3161 43Rd St S
Fargo, ND 58104-8791
Phone
(701) 893-2639
NPI assigned
Jan 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9210 MN
Physical Therapist 225100000X 1816 ND Primary

Addresses

Primary practice location

3161 43Rd St S
Fargo, ND 58104-8791

Mailing address

3161 43Rd St S
Fargo, ND 58104-8791
Phone (701) 893-2639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140512000447 ND Practitioner - Physical Therapist in Private Practice 3678706983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Body Works Physical Therapy LTDGroup PAC ID 2163618794, 8 clinicians

Practice addresses (Care Compare)

3161 43Rd St S
Fargo, ND 58104-8791
Phone (701) 893-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1816NDMDAddiction (Substance Use Disorder) Counselor
9210MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Body Works Physical Therapy, LTD. CurrentSince Jun 1, 2021 Accepting new patients
Body Works Physical Therapy, LTD. CurrentSince Mar 4, 2014 Accepting new patients

Locations

3161 43rd St S
Fargo, ND 58104
Phone (701) 893-2639

1650 45th St S
Ste 200
Fargo, ND 58103
Phone (701) 893-2639

3242 20th St S
Fargo, ND 58104
Phone (701) 893-2639

Organizations & group practices 2

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1871915033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 43RD ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048791",
            "telephone_number": "701-893-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-07",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9210",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.