Individual provider Active NPI

Stacey M Simons, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1316053812
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3086 Issued in AZ
Practice address
6200 E 22ND St
#100
Tucson, AZ 85711-5248
Phone
(520) 514-1114
Fax
(520) 514-2144
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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 3086 AZ Primary

Addresses

Primary practice location

6200 E 22ND St
#100
Tucson, AZ 85711-5248

Mailing address

6200 E 22ND St
#100
Tucson, AZ 85711-5248
Phone (520) 514-1114

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060322000439 AZ Practitioner - Physical Therapist in Private Practice 7810959343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simons Physical Therapy P CGroup PAC ID 5395745962, 6 clinicians

Practice addresses (Care Compare)

8703 E Golf Links Rd
Tucson, AZ 85730-1301
Phone (520) 514-1114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3086AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Simons Physical Therapy P C Physical Therapist CurrentSince Oct 1, 2006 Accepting new patients

Locations

8703 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-1114

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1316053812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E 22ND ST",
            "address_2": "#100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115248",
            "telephone_number": "520-514-1114",
            "fax_number": "520-514-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E 22ND ST",
            "address_2": "#100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857115248",
            "telephone_number": "520-514-1114",
            "fax_number": "520-514-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.