Individual provider Active NPI

Bernard Joshua Simmons, PT

  • Physical Therapist
  • Cleveland Heights, OH
National Provider Identifier
1164798328
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.012054 Issued in OH
Practice address
2280 Bellfield Ave
Apt. 2
Cleveland Heights, OH 44106-3160
Phone
(216) 269-2850
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2012

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 PT.012054 OH Primary

Addresses

Primary practice location

2280 Bellfield Ave
Apt. 2
Cleveland Heights, OH 44106-3160

Mailing address

2280 Bellfield Ave
Apt. 2
Cleveland Heights, OH 44106-3160
Phone (216) 269-2850

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT.012054OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1164798328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 BELLFIELD AVE",
            "address_2": "APT. 2",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063160",
            "telephone_number": "216-269-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 BELLFIELD AVE",
            "address_2": "APT. 2",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063160",
            "telephone_number": "216-269-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "BERNARD",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2012; 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.