Active NPI
Lori Jean Simmerson, PT
- Physical Therapist
- Cambridge, MD
National Provider Identifier
1053536441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 19727
- Practice address
- 525 Glenburn Ave
Cambridge, MD 21613 - Phone
- (410) 221-1400
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 19727 | MD | Primary |
Addresses
Primary practice location
525 Glenburn Ave
Cambridge, MD 21613
Mailing address
3129 Green Hill Church Rd
Quantico, MD 21856-2015
Phone (410) 873-2155
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19727 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053536441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 GREEN HILL CHURCH RD",
"city": "QUANTICO",
"state": "MD",
"postal_code": "218562015",
"telephone_number": "410-873-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 GLENBURN AVE",
"city": "CAMBRIDGE",
"state": "MD",
"postal_code": "21613",
"telephone_number": "410-221-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMERSON",
"first_name": "LORI",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "19727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MD
- Shore Health System, Inc
- Shore Health System, Inc (Um Shore Regional Health Diagnostics and Imaging Center at Cambridge)
- Shore Resolutions LLC
- Alex Drew Shorter, PARAMEDIC
- Sightrite Medical MD LLC
- Amy Elizabeth Simmons, ATC, LAT
- Wendy Hare Simpson, LCSW-C
- Siri Premier Eyecare
- Eleanor Siri, OD
- Taylor Smith, LCSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.