Provider Demographics
NPI:1902779382
Name:ZIMMERMAN, KATHRYN JEAN SWOPE (MOT, OTR)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JEAN SWOPE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT, OTR
Mailing Address - Street 1:4332 BREMNER DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3642
Mailing Address - Country:US
Mailing Address - Phone:512-554-9220
Mailing Address - Fax:
Practice Address - Street 1:9020 N CAPITAL OF TEXAS HWY BLDG 1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7279
Practice Address - Country:US
Practice Address - Phone:512-372-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation