Active NPI
Tammy Marie Simmons, MHS, PT
- Pediatric Physical Therapist
- Indianapolis, IN
National Provider Identifier
1164401709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 05002124A
- Practice address
- 6239 S East St
A
Indianapolis, IN 46227-2090 - Phone
- (317) 791-9031
- NPI assigned
- Jan 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 05002124A | IN | |
| Pediatric Physical Therapist | 2251P0200X | 05002124A | IN | Primary |
Addresses
Primary practice location
6239 S East St
A
Indianapolis, IN 46227-2090
Mailing address
3610 S Homestead Dr
New Palestine, IN 46163-9438
Phone (317) 965-3483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000369371 | Other | IN | ANTHEM BC/BS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05002124A | IN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediplay LLC | Past | Accepting new patients | |
| Durant & Smith PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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
- Indianapolis, IN
- NPI 1679695381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1164401709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 S HOMESTEAD DR",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461639438",
"telephone_number": "317-965-3483",
"fax_number": "317-806-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6239 S EAST ST",
"address_2": "A",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462272090",
"telephone_number": "317-791-9031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TAMMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MHS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-12",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IN",
"license": "05002124A",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "IN",
"license": "05002124A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000369371",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.