Individual provider Active NPI

Kimberly Adriana Zamora

  • Physical Therapist
  • Gurnee, IL
National Provider Identifier
1972463396
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.029359 Issued in IL
Practice address
34498 N Old Walnut Cir Unit Ab
Gurnee, IL 60031-4601
Phone
(224) 252-2922
NPI assigned
Nov 17, 2025
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.029359 IL Primary

Addresses

Primary practice location

34498 N Old Walnut Cir Unit Ab
Gurnee, IL 60031-4601

Mailing address

110 Havenwood CT
Round Lake, IL 60073-9538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251226000233 IL Practitioner - Physical Therapist in Private Practice 4981190188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fyzical Gurnee Clinical PLLCGroup PAC ID 2668828443, 4 clinicians

Practice addresses (Care Compare)

34498 N Old Walnut Cir
Suite a
Gurnee, IL 60031-4202
Phone (224) 252-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.029359ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Satosan LLC CurrentSince Dec 15, 2025 Accepting new patients
Fyzical Gurnee Clinical PLLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients

Locations

34498 N Old Walnut Cir
Ste A
Gurnee, IL 60031
Phone (224) 252-2922

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1972463396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAVENWOOD CT",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600739538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34498 N OLD WALNUT CIR UNIT AB",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314601",
            "telephone_number": "224-252-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "KIMBERLY",
        "middle_name": "ADRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.