NPIMap

Organization Active NPI

Wanda Simmons Physical Therapy, P.C.

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1245578970
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0001791 Issued in CO
Legal business name
WANDA SIMMONS PHYSICAL THERAPY, P.C.
Doing business as
Balance Center of Fort Collins
Practice address
1136 E Stuart St Ste 2120
Fort Collins, CO 80525-1197
Phone
(970) 988-2321
Fax
(970) 682-6447
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Authorized official

Name
Wanda K Simmons-Parsonnet, PTNPI 1619058252
Title
Owner
Phone
(970) 988-2321

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 0001791 CO Primary

Addresses

Primary practice location

1136 E Stuart St Ste 2120
Fort Collins, CO 80525-1197

Mailing address

1136 E Stuart St Ste 2120
Fort Collins, CO 80525-1197
Phone (970) 988-2321

Other names 1

  • Balance Center of Fort Collins Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130604000220 CO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8820236839 Receives reassigned benefits from 4 practitioners
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

1136 E Stuart St
Ste 2120
Fort Collins, CO 80525
Phone (970) 302-4322

1017 Robertson St
Rm 78
Fort Collins, CO 80524
Phone (970) 492-5161

Practitioners & affiliated clinicians

Practitioners 4

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": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1245578970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251197",
            "telephone_number": "970-988-2321",
            "fax_number": "970-682-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST STE 2120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251197",
            "telephone_number": "970-988-2321",
            "fax_number": "970-682-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANDA SIMMONS PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS-PARSONNET",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-988-2321",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0001791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Center of Fort Collins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.