Active NPI
Ryan Edward Zimmerman, P.T.
- Orthopedic Physical Therapist
- Perry Hall, MD
National Provider Identifier
1912006313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 21472
- Practice address
- 5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842 - Phone
- (443) 725-2150
- NPI assigned
- Sep 22, 2006
- Last updated
- Dec 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 21472 | MD | Primary |
Addresses
Primary practice location
5009 Honeygo Center Dr Ste 209
Perry Hall, MD 21128-9842
Mailing address
9621 Oakdale Ave
Parkville, MD 21234-1827
Phone (443) 846-7959
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21472 | MD | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1912006313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9621 OAKDALE AVE",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212341827",
"telephone_number": "443-846-7959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5009 HONEYGO CENTER DR STE 209",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289842",
"telephone_number": "443-725-2150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "RYAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "21472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.