Individual provider Active NPI

Julie Abamonga Simmons, PT, DPT

  • Physical Therapist
  • Riverton, UT
National Provider Identifier
1336539675
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11334839-2401 Issued in UT
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

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
PT-234IDMDPhysical Therapist
11334839-2401UTMDPhysical 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.

Verify at the official NPI Registry.