NPIMap

Organization Active NPI

Sims Physical Therapy Inc

  • Physical Therapist
  • Santa Maria, CA
National Provider Identifier
1164445565
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SIMS PHYSICAL THERAPY INC
Practice address
2530 Professional Pkwy
Santa Maria, CA 93455-1602
Phone
(805) 928-4465
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Mr. Quentin Douglas Sims, P.T.NPI 1316004252
Title
Ceo
Phone
(805) 928-4465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

2530 Professional Pkwy
Santa Maria, CA 93455-1602

Mailing address

2530 Professional Pkwy
Santa Maria, CA 93455-1602
Phone (805) 928-4465

Other identifiers 5

IdentifierTypeStateIssuer
GPT001690OtherCASTATE MEDI-CAL PT GROUP #
ZZZ52509ZOtherCABLUE SHIELD PT GROUP #
ZZZ65900ZOtherCABLUE SHIELD OT GROUP #
0161641OtherCACIGNA PROVIDER #
GCT000560OtherCASTATE MEDI-CAL OT GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050317001002 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1153376504 Receives reassigned benefits from 5 practitioners
Practice locations: Santa Maria, CA

National Provider Directory

National Provider Directory

Locations

2530 Professional Pkwy
Santa Maria, CA 93455
Phone (805) 928-4465

915 E Stowell Rd
Ste D
Santa Maria, CA 93454
Phone (805) 314-2567

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1164445565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551602",
            "telephone_number": "805-928-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551602",
            "telephone_number": "805-928-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMS PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-928-4465",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDI-CAL PT GROUP #",
            "identifier": "GPT001690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PT GROUP #",
            "identifier": "ZZZ52509Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OT GROUP #",
            "identifier": "ZZZ65900Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "0161641",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDI-CAL OT GROUP #",
            "identifier": "GCT000560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.