Active NPI
Allison Claire Zimmerman
- Occupational Therapist
- Beaver Dam, WI
National Provider Identifier
1982299509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6928-26
- Practice address
- 130 Corporate Drive
Beaver Dam, WI 53916-3116 - Phone
- (920) 887-3102
- NPI assigned
- Mar 5, 2021
- Last updated
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6928-26 | WI | Primary |
Addresses
Primary practice location
130 Corporate Drive
Beaver Dam, WI 53916-3116
Mailing address
311 S Columbus St
Randolph, WI 53956-1413
Phone (920) 326-9098
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 |
|---|---|---|---|
| 6928-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1982299509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 S COLUMBUS ST",
"city": "RANDOLPH",
"state": "WI",
"postal_code": "539561413",
"telephone_number": "920-326-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 CORPORATE DRIVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163116",
"telephone_number": "920-887-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ALLISON",
"middle_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-05",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "6928-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.