Individual provider Active NPI

Douglas B Simpson, PT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1346329083
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT842 Issued in ID
Practice address
2470 N Stokesbury PL
Meridian, ID 83646-5035
Phone
(208) 884-8323
Fax
(208) 885-5708
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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 PT842 ID Primary

Addresses

Primary practice location

2470 N Stokesbury PL
Meridian, ID 83646-5035

Mailing address

824 W Lewis St Ste 204
Pasco, WA 99301-5561
Phone (509) 544-0265

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040810000023 ID Practitioner - Physical Therapist in Private Practice 7113999285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Physical Therapy Inc PSGroup PAC ID 6305747643, 44 clinicians

Practice addresses (Care Compare)

2470 N Stokesberry PL
Meridian, ID 83646-5035
Phone (208) 884-8323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT842IDMDPhysical Therapist
842IDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Physical Therapy Inc PS Physical Therapist CurrentSince May 10, 2013 Accepting new patients

Locations

2470 N Stokesberry Pl
Meridian, ID 83646
Phone (208) 884-8323

7201 W Clearwater Ave
Kennewick, WA 99336

7201 W Clearwater Ave
Ste B101
Kennewick, WA 99336
Phone (509) 544-0265

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1346329083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 W LEWIS ST STE 204",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015561",
            "telephone_number": "509-544-0265",
            "fax_number": "509-544-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 N STOKESBURY PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465035",
            "telephone_number": "208-884-8323",
            "fax_number": "208-885-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.