Healthcare Provider Details

I. General information

NPI: 1902779382
Provider Name (Legal Business Name): KATHRYN JEAN SWOPE ZIMMERMAN MOT, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE ZIMMERMAN MOT, OTR

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9020 N CAPITAL OF TEXAS HWY BLDG 1
AUSTIN TX
78759-7279
US

IV. Provider business mailing address

4332 BREMNER DR
AUSTIN TX
78749-3642
US

V. Phone/Fax

Practice location:
  • Phone: 512-372-1035
  • Fax:
Mailing address:
  • Phone: 512-554-9220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: