Individual provider Active NPI

Mitchell E Simpson, MS, PT

  • Physical Therapist
  • Teaneck, NJ
National Provider Identifier
1346346293
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01108500 Issued in NJ
Practice address
316 Maitland Ave
Teaneck, NJ 07666-3025
Phone
(201) 833-0234
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 40QA01108500 NJ Primary
Physical Therapist 225100000X 017878-1 NY

Addresses

Primary practice location

316 Maitland Ave
Teaneck, NJ 07666-3025

Mailing address

316 Maitland Ave
Teaneck, NJ 07666-3025
Phone (201) 833-0234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000967 NJ Practitioner - Physical Therapist in Private Practice 2264464049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Back to Health Physical Therapy Associates PAGroup PAC ID 1456361302, 15 clinicians

Practice addresses (Care Compare)

1060 Main St
Suite 302
River Edge, NJ 07661-2592
Phone (201) 833-0234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40QA01108500NJMDPhysical Therapist
017878-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Physical Therapy Associates, P.a. Physical Therapist CurrentSince Mar 9, 2006 Accepting new patients
Spine Center and Orthopedic Rehabilitation of Englewood, PC Past Accepting new patients
Sportscare Institute, Inc. Physical Therapist Past Accepting new patients
Sportscare of America, PC Physical Therapist PastSince Feb 2, 2011 Accepting new patients

Locations

1060 Main St
Ste 302
River Edge, NJ 07661
Phone (201) 833-0234

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346346293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAITLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663025",
            "telephone_number": "201-833-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAITLAND AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663025",
            "telephone_number": "201-833-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MITCHELL",
        "middle_name": "E",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01108500",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "017878-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.