Delaney Marie Simon, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1457-39 Issued in WI

Practice address

2817 New Pinery Rd
Portage, WI 53901-9240

Phone

(607) 742-4131

NPI assigned

Jan 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1093104739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 W SEWARD ST APT 4",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558881",
            "telephone_number": "608-635-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "607-742-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 S Main St",
            "address_purpose": "LOCATION",
            "city": "Viroqua",
            "state": "WI",
            "postal_code": "546652059",
            "country_code": "US",
            "telephone_number": "608-637-4385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "DELANEY",
        "middle_name": "MARIE",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-19",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "1457-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Seubert, D.D.S.
• Sara B Shaver, LMFT
• Kali L Shepard, OTR
• Samantha Ann Shields, COTA
• Shoptikal LLC (Shopko Optical 4298)
• Uliana V Skibicky, PHD, RD
• Paul J Slavik, MD
• Suzanne Katherine Smalley, MPT
• Christina Marie Smtih, PTA
• Daniel John Sobczak, RPH

• Athletic Trainer in Portage, WI
• Providers in Portage, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.