Active NPI
Gwendolyn Jane Simons, PT,JD,OCS,FAAOMPT
- Orthopedic Physical Therapist
- Sanford, ME
National Provider Identifier
1124066956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT2727
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 326960099 | Medicaid | ME | |
| 1467488890 | Other | ANTHEM | |
| 1467488890 | Other | HARVARD 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Physical Therapy Associates | Orthopedic | Past | Accepting new patients |
| Advanced Orthopaedic Physical Therapy, PSC | Past | Accepting new patients | |
| Everything in Between, LLC | Past | 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.
-
- Occupational Therapist
- Springvale, ME
- NPI 1477190650
-
- Orthopedic Physical Therapist
- Sanford, ME
- NPI 1467488890
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1912050618
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.