Active NPI
Zachary Daniel Simmons, PT, DPT, ATC
- Physical Therapist
- Jacksonville, AR
National Provider Identifier
1265956148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4342
- Practice address
- 208 John Harden Dr
Jacksonville, AR 72076-3775 - Phone
- (501) 982-9511
- NPI assigned
- Aug 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4342 | AR | Primary |
Addresses
Primary practice location
208 John Harden Dr
Jacksonville, AR 72076-3775
Mailing address
19 Bristol
Cabot, AR 72023-7005
Phone (501) 607-0999
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4342 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501545600000",
"number": "1265956148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRISTOL",
"city": "CABOT",
"state": "AR",
"postal_code": "720237005",
"telephone_number": "501-607-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 JOHN HARDEN DR",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "720763775",
"telephone_number": "501-982-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ZACHARY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-01",
"last_updated": "2017-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.