Marguerite Simmons

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.001468 Issued in IL

Practice address

121 Des Plaines Ave
Forest Park, IL 60130-3316

Phone

(708) 355-1031

NPI assigned

Dec 26, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Marguerite Early Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1003351230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DES PLAINES AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601303316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DES PLAINES AVE",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601303316",
            "telephone_number": "708-355-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MARGUERITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.001468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "EARLY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brielle C Seitelman, MS OTR/L
• Select Physical Therapy Orthopedic Services Inc
• Varun Shravah
• Nosheen Siddiqui
• Gabriela I. Sierra, MA
• Nicolette Lynn Simmons, LPC
• Vanessa V Simmons, LMT
• Djamilla Simoens
• Katherine Elizabeth Sims, M.A., CCC-SLP
• Yevgenia Sippel, DC

• Physical Therapy Assistant in Forest Park, IL
• Providers in Forest Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.