Individual provider Active NPI

Christine Simon, DPT

  • Physical Therapist
  • Grand Prairie, TX
National Provider Identifier
1346838554
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1352556 Issued in TX
Practice address
3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668
Phone
(972) 262-9972
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 1352556 TX
Physical Therapist 225100000X 1352556 TX Primary

Addresses

Primary practice location

3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668

Mailing address

3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668
Phone (972) 262-9972

Other practice location 1

5615 Dyer St # 100
Dallas, TX 75206-5003
Phone (612) 470-8618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211110003274 TX Practitioner - Physical Therapist in Private Practice 1951790047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1346838554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 490",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526668",
            "telephone_number": "972-262-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 490",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526668",
            "telephone_number": "972-262-9972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 Dyer St # 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752065003",
            "country_code": "US",
            "telephone_number": "612-470-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CHRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1352556",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1352556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.