Individual provider Active NPI

Danielle Michelle Sims

  • Physical Therapist
  • Fort Walton Beach, FL
National Provider Identifier
1093228447
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33178 Issued in FL
Practice address
24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893
Phone
(850) 226-7411
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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 PT33178 FL Primary

Addresses

Primary practice location

24 Hollywood Blvd SW Ste 7
Fort Walton Beach, FL 32548-4893

Mailing address

44 Memorial Pkwy NW
Fort Walton Beach, FL 32548-4649
Phone (850) 582-8866

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

LicenseStateTypeSpecialty
PT33178FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Treehouse Therapies, LLC Physical Therapist Past Accepting new patients
Treehouse Therapies, LLC PastSince Aug 28, 2021 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, 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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1093228447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MEMORIAL PKWY NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484649",
            "telephone_number": "850-582-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLYWOOD BLVD SW STE 7",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484893",
            "telephone_number": "850-226-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "DANIELLE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.