Individual provider Active NPI

Lynn Marie Simons, PT

  • Physical Therapist
  • Anthony, KS
National Provider Identifier
1063558674
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-02947 Issued in KS
Practice address
212 N 5TH Ave
Anthony, KS 67003-2106
Phone
(620) 842-5187
NPI assigned
Jan 30, 2007
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 11-02947 KS Primary

Addresses

Primary practice location

212 N 5TH Ave
Anthony, KS 67003-2106

Mailing address

307 Irene Ave
Garden Plain, KS 67050-9210
Phone (316) 535-1101

Other practice location 1

126 N. Main Street
Cheney, KS 67025
Phone (316) 542-3400

Other identifiers 1

IdentifierTypeStateIssuer
140971OtherKSKS BLUE CROSS BLUE SHIELD

Other names 1

  • Lynn Marie Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140801000588 KS Practitioner - Physical Therapist in Private Practice 2860618501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Essentials, LLCGroup PAC ID 8729512439, 2 clinicians

Practice addresses (Care Compare)

1020 Main St
Kiowa, KS 67070-1421
Phone (620) 845-4117

212 N 5TH Ave
Anthony, KS 67003-2106
Phone (620) 842-5187

302 N Botkin St
Attica, KS 67009-9032
Phone (620) 254-7253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Essentials, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Luis S Alonzo MD PA Past Accepting new patients

Locations

212 N 5th Ave
Anthony, KS 67003
Phone (620) 491-0525

302 N Botkin St
Attica, KS 67009
Phone (316) 254-7253

1020 Main St
Kiowa, KS 67070
Phone (620) 491-0525

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1063558674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 IRENE AVE",
            "city": "GARDEN PLAIN",
            "state": "KS",
            "postal_code": "670509210",
            "telephone_number": "316-535-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N 5TH AVE",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032106",
            "telephone_number": "620-842-5187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 N. Main Street",
            "address_purpose": "LOCATION",
            "city": "Cheney",
            "state": "KS",
            "postal_code": "67025",
            "country_code": "US",
            "telephone_number": "316-542-3400",
            "fax_number": "316-542-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KS BLUE CROSS BLUE SHIELD",
            "identifier": "140971",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "FORD",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anthony, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.