Individual provider Active NPI

Gwendolyn Jane Simons, PT,JD,OCS,FAAOMPT

  • Orthopedic Physical Therapist
  • Sanford, ME
National Provider Identifier
1124066956
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT2727 Issued in ME
Practice address
1068 Main St
Suite a
Sanford, ME 04073-3606
Phone
(207) 324-6789
Fax
(207) 324-9394
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT2727 ME Primary

Addresses

Primary practice location

1068 Main St
Suite a
Sanford, ME 04073-3606

Mailing address

1068 Main St
Suite a
Sanford, ME 04073-3606
Phone (207) 324-6789

Other identifiers 3

IdentifierTypeStateIssuer
326960099MedicaidME
1467488890OtherANTHEM
1467488890OtherHARVARD PILGRIMI

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)
Enrolled
Credentials
Juris Doctor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Physical Therapy Associates Orthopedic PastSince Jun 15, 2006 Accepting new patients
Advanced Orthopaedic Physical Therapy, PSC PastSince Nov 27, 2000 Accepting new patients
Everything in Between, LLC PastSince Jun 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1124066956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 MAIN ST",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733606",
            "telephone_number": "207-324-6789",
            "fax_number": "207-324-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 MAIN ST",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733606",
            "telephone_number": "207-324-6789",
            "fax_number": "207-324-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "GWENDOLYN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PT,JD,OCS,FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT2727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326960099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1467488890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIMI",
            "identifier": "1467488890",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.