Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nathan Zimmerman

Individual provider Physical Therapist · NPI 1326889171

Nathan Zimmerman is a Physical Therapist in Private Practice in Jackson, Wyoming. Qualified in 2024, 2 years ago. Practices with Modern Sports Medicine LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
2
Licensed in
WY
In the registry since
2024

Practice location Address checks out

1175 S Hwy 89 Ste A
Jackson, WY 83001-8512
Phone: (307) 733-5577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2398 (WY)

Record details

NPI number1326889171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing addressPo Box 13213, Jackson, WY 83002-3213

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Modern Sports Medicine Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jackson