Individual provider Active NPI

Amber Simecek, PT, DPT, OCS, COMT

  • Orthopedic Physical Therapist
  • Cleveland, OH
National Provider Identifier
1245277524
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT011434 Issued in OH
Practice address
10701 East Blvd
1St Floor - Cares Tower Gym - PT
Cleveland, OH 44106-1702
Phone
(216) 791-3800
Fax
(216) 707-7962
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X PT.011434 OH
Orthopedic Physical Therapist 2251X0800X PT011434 OH Primary

Addresses

Primary practice location

10701 East Blvd
1St Floor - Cares Tower Gym - PT
Cleveland, OH 44106-1702

Mailing address

10701 East Blvd FL Physical
Cleveland, OH 44106-1702
Phone (216) 791-3800

Other practice location 1

853 Ireland Ave
Ireland Army Community Hospital
Fort Knox, KY 40121-2727
Phone (502) 624-9851

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.011434OHMDMilitary Health Care Provider
PT011434OHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1245277524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD FL PHYSICAL",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-707-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "address_2": "1ST FLOOR - CARES TOWER GYM - PT",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-791-3800",
            "fax_number": "216-707-7962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "853 Ireland Ave",
            "address_2": "Ireland Army Community Hospital",
            "address_purpose": "LOCATION",
            "city": "Fort Knox",
            "state": "KY",
            "postal_code": "401212727",
            "country_code": "US",
            "telephone_number": "502-624-9851",
            "fax_number": "502-624-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMECEK",
        "first_name": "AMBER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "OH",
            "license": "PT.011434",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT011434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.