MEDICARE: MEGHAN ZIMMER OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	4970-26	WI

General Provider Information

NPI Number	:	1629348032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN ZIMMER OT

Provider Business Mailing Address
First Line	:	9737 S 27TH ST APT 103
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-9796
Country	:	US
Telephone Number	:	414-899-0082
Fax Number	:

Provider Business Practice Location Address
First Line	:	3109 MOUNT PLEASANT ST
Second Line	:
City	:	RACINE
State	:	WI
Zip	:	53404-1511
Country	:	US
Telephone Number	:	262-635-5600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	10/25/2025

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Directions to “ MEGHAN ZIMMER OT” Practice Location

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