Individual provider Active NPI

Catherine L Simon, P.T.

  • Physical Therapist
  • Kettering, OH
National Provider Identifier
1023176294
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7114 Issued in OH
Practice address
313 Brydon Rd
Kettering, OH 45419-1704
Phone
(937) 474-4424
Fax
(937) 298-6046
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7114 OH Primary

Addresses

Primary practice location

313 Brydon Rd
Kettering, OH 45419-1704

Mailing address

313 Brydon Rd
Kettering, OH 45419-1704
Phone (937) 474-4424

Other practice location 1

4464 Indian Ripple Rd
Beavercreek, OH 45440-3252
Phone (937) 426-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Physical Therapy Services, Inc Physical Therapist Past Accepting new patients
Oxford Physical Therapy and Rehabilitation Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1023176294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 BRYDON RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454191704",
            "telephone_number": "937-474-4424",
            "fax_number": "937-298-6046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BRYDON RD",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454191704",
            "telephone_number": "937-474-4424",
            "fax_number": "937-298-6046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4464 Indian Ripple Rd",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454403252",
            "country_code": "US",
            "telephone_number": "937-426-1120",
            "fax_number": "937-426-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.