Brian Scott Simon, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00778500 Issued in NJ

Practice address

1325 Warren Ave
Suite 5
Spring Lake, NJ 07762-2566

Phone

(732) 449-7855

Fax

(732) 449-7856

NPI assigned

Jul 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sea Girt Physical Medicine and Rehabilitation Associates, LLCGroup PAC ID 6608931647, 4 clinicians

New Jersey RehabilitationGroup PAC ID 5193220549, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Jersey Rehabilitation

  • Multi-Specialty Clinic/Center
  • Shrewsbury, NJ
  • NPI 1013801604
  Medicare reassignment Care Compare group NPD
• Sea Girt Physical Medicine and Rehabilitation Associates, LLC

  • Physical Medicine & Rehabilitation Physician
  • Manasquan, NJ
  • NPI 1407004195
  Medicare reassignment Care Compare group NPD
• Joint Physical Therapy and Sports Medicine LLC

  • Physical Therapist
  • Middletown, NJ
  • NPI 1295397073
  Medicare reassignment NPD
• Toms River Ambulatory Anesthesia LLC

  • Integrative Medicine Physician
  • Shrewsbury, NJ
  • NPI 1841540341
  Medicare reassignment NPD
• Fox Rehabilitation Services Inc

  • Physical Therapist
  • Wilmington, DE
  • NPI 1326092503

  NJ

  Medicare reassignment NPD
• Toms River Ambulatory Anesthesia LLC

  • Durable Medical Equipment & Medical Supplies
  • Manasquan, NJ
  • NPI 1700682515
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255363255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 MILLBURN AVE",
            "address_2": "SUITE 110",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411847",
            "telephone_number": "973-467-7976",
            "fax_number": "973-467-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE",
            "address_2": "SUITE 5",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622566",
            "telephone_number": "732-449-7855",
            "fax_number": "732-449-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00778500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore F. Vitale Inc
• Carlie Schuttinger, PHARM.D.
• Lorette Joan Sciarappa, M.D.
• Shore Eye Associates PA (SightMD New Jersey)
• Shore Footed LLC
• Jade Danette Simons, OTA
• Lynn Marie Snyder, LPC, ATR-BC
• Eileen Spillane-Grieco, PHD,DSW
• Pasquale A Spitaletta, LCSW
• Spring Lake Heights Counseling Center

• Physical Therapist in Spring Lake, NJ
• Providers in Spring Lake, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.