Individual provider Active NPI

Joseph E Simko, LPT

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1083713150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
07086 Issued in OH
Practice address
3705 Olentangy River Rd
#260
Columbus, OH 43214-3467
Phone
(614) 586-1200
Fax
(614) 586-1200
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 07086 OH Primary

Addresses

Primary practice location

3705 Olentangy River Rd
#260
Columbus, OH 43214-3467

Mailing address

3705 Olentangy River Rd
#260
Columbus, OH 43214-3467
Phone (614) 586-1220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160219000403 OH Practitioner - Physical Therapist in Private Practice 1850696477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports Medicine SpecialistsGroup PAC ID 2769792001, 6 clinicians

Practice addresses (Care Compare)

1270 E Powell Rd
Lewis Center, OH 43035-8619
Phone (614) 981-2065

1344 W Lane Ave
Columbus, OH 43221-3530
Phone (614) 981-1979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07086OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine Specialists CurrentSince Dec 1, 2015 Accepting new patients

Locations

1344 W Lane Ave
Columbus, OH 43221
Phone (614) 981-1979

5792 N Hamilton Rd
Ste C
Columbus, OH 43230
Phone (614) 981-2065

358 S Hamilton Rd
Ste A
Gahanna, OH 43230
Phone (614) 981-9517

1270 E Powell Rd
Lewis Center, OH 43035
Phone (614) 432-6401

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083713150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "#260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-586-1220",
            "fax_number": "614-586-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "#260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-586-1200",
            "fax_number": "614-586-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKO",
        "first_name": "JOSEPH",
        "middle_name": "E",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "07086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

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.
  • 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.