Individual provider Active NPI

Kristina Marie Simmons, DPT

  • Physical Therapist
  • Yakima, WA
National Provider Identifier
1124080957
Registry record updated Dec 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009966 Issued in WA
Practice address
1211 N 16TH Ave
Yakima, WA 98902-1347
Phone
(509) 454-8888
Fax
(509) 453-0061
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2013

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 PT00009966 WA Primary

Addresses

Primary practice location

1211 N 16TH Ave
Yakima, WA 98902-1347

Mailing address

1211 N 16TH Ave
Yakima, WA 98902-1347
Phone (509) 454-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000175 WA Practitioner - Physical Therapist in Private Practice 9436178035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

210 S 72ND Ave
Suite 130
Yakima, WA 98908-1689
Phone (509) 453-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00009966WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Associates Inc Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Current Accepting new patients
Therapeutic Associates Inc Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
RPM Rehab, Inc Physical Therapist PastSince Nov 4, 2011 Accepting new patients
Cascade Summit Physical Therapy Inc PS Physical Therapist Past Accepting new patients

Locations

16083 SW Upper Boones Ferry Rd
Ste 300
Tigard, OR 97224
Phone (503) 443-6153

1408 N Louisiana St
Ste 104A
Kennewick, WA 99336
Phone (509) 783-1962

17901 Bothell Everett Hwy
Mill Creek, WA 98012
Phone (425) 424-3924

4250 Martin Way E
Ste 105
Olympia, WA 98516
Phone (360) 486-0640

5420 Barnes Ave NW
Seattle, WA 98107
Phone (206) 789-7975

406 S 1st St
Ste 2
Selah, WA 98942
Phone (509) 697-9109

17700 SE Mill Plain Blvd
Ste 150
Vancouver, WA 98683
Phone (360) 514-9383

210 S 72nd Ave
Ste 130
Yakima, WA 98908
Phone (509) 453-3103

Interoperability endpoints

  • Direct secure messaging: kristina.simmons.1@31414.direct.athenahealth.com

Organizations & group practices 6

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386460800000",
    "number": "1124080957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 16TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989021347",
            "telephone_number": "509-454-8888",
            "fax_number": "509-453-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; 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.