Clay A Simons

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

24582 Del Prado
Suite C
Dana Point, CA 92629

Phone

(949) 276-5401

Fax

(949) 276-5403

NPI assigned

Jul 1, 2021

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rausch Physical Therapy IncGroup PAC ID 9133124282, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rausch Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Laguna Niguel, CA
  • NPI 1538110861
  Medicare reassignment Care Compare group
• Pack Physical Therapy, Inc.

  • Physical Therapist
  • South Jordan, UT
  • NPI 1336413798
  NPD

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1104497031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE B7",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926532843",
            "telephone_number": "949-597-0007",
            "fax_number": "948-597-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24582 DEL PRADO",
            "address_2": "SUITE C",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "92629",
            "telephone_number": "949-276-5401",
            "fax_number": "949-276-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "CLAY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Judy Sherman, RPH, APH
• Lorraine Ann Sherrie, COTA/C
• Michelle Shickler
• Aansi Shukla
• Kunal Sidhar, M.D.
• Jeanne Singleton-Doran, PT
• James R. Slusher, D.C.
• Josh D Smith
• Kristina La Fave Smith, B.A.
• Kayla Kerr Smyth

• Physical Therapist in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; 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.