Active NPI
Julie Abamonga Simmons, PT, DPT
- Physical Therapist
- Riverton, UT
National Provider Identifier
1336539675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11334839-2401
- Practice address
- 3741 W 12600 S
Riverton, UT 84065-7215 - Phone
- (801) 285-4000
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-234 | ID | |
| Physical Therapist | 225100000X | 11334839-2401 | UT | Primary |
Addresses
Primary practice location
3741 W 12600 S
Riverton, UT 84065-7215
Mailing address
14296 S Maple Run Cir
Herriman, UT 84096-1896
Phone (832) 917-0042
Other practice location 1
3419 W 12600 S
Riverton, UT 84065-7265
Phone (801) 693-3900
Other practice location 2
4090 W Pioneer Pkwy
West Valley City, UT 84120-2060
Phone (801) 397-4400
Other names 1
- Julie Ann Abamonga Simmons
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT-234 | ID | MD | Physical Therapist |
| 11334839-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1336539675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14296 S MAPLE RUN CIR",
"city": "HERRIMAN",
"state": "UT",
"postal_code": "840961896",
"telephone_number": "832-917-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3741 W 12600 S",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840657215",
"telephone_number": "801-285-4000"
}
],
"practiceLocations": [
{
"address_1": "3419 W 12600 S",
"address_purpose": "LOCATION",
"city": "Riverton",
"state": "UT",
"postal_code": "840657265",
"country_code": "US",
"telephone_number": "801-693-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4090 W Pioneer Pkwy",
"address_purpose": "LOCATION",
"city": "West Valley City",
"state": "UT",
"postal_code": "841202060",
"country_code": "US",
"telephone_number": "801-397-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "JULIE",
"middle_name": "ABAMONGA",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-234",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "11334839-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE ANN",
"last_name": "SIMMONS",
"middle_name": "ABAMONGA",
"credential": "PT,DPT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.