Provider Demographics
NPI:1942387717
Name:ZIMMERMAN, STEVEN ROBERT (ATC, RN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ROBERT
Last Name:ZIMMERMAN
Suffix:
Gender:M
Credentials:ATC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5450
Mailing Address - Country:US
Mailing Address - Phone:304-552-7476
Mailing Address - Fax:
Practice Address - Street 1:80 HEALTHCARE DR STE 203
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5146
Practice Address - Country:US
Practice Address - Phone:285-865-5318
Practice Address - Fax:828-586-7887
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-28752255A2300X
NC276949163WX0800X
VA0001218120163WC0400X
TNRN0000170182163WC0400X
119302636246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other