Steve Simo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3291 Issued in OK

Practice address

302 N Independence St Ste 802
Enid, OK 73701-4046

Phone

(580) 334-1856

Fax

(580) 789-9113

NPI assigned

Nov 21, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Gonzales SLP Services, PLLC

  • Speech-Language Pathologist
  • Enid, OK
  • NPI 1679296628

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1114742467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N INDEPENDENCE ST STE 802",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014046",
            "telephone_number": "580-334-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N INDEPENDENCE ST STE 802",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737014046",
            "telephone_number": "580-334-1856",
            "fax_number": "580-789-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMO",
        "first_name": "STEVE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirannda Lea Shourek
• Ronald Wayne Shreck, M.D.
• Cheryl Reames Shreve, RDLD
• Paula Marie Shuck
• Robert Clark Simmons
• Scott Franklin Simon
• Tabitha Janel Simon
• Elise Simpson
• Sara Elizabeth Sims
• Malissa Lavern Singleton, BS

• Physical Therapy Assistant in Enid, OK
• Providers in Enid, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.