Michael Anthony Simeoli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

002192 Issued in CT

Practice address

400 Boston Post Rd
Orange, CT 06477-3545

Phone

(203) 928-9455

NPI assigned

Aug 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Achieve Improved Motion LLCGroup PAC ID 0547671174, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Achieve Improved Motion LLC

  • Chiropractor
  • Orange, CT
  • NPI 1114533429
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1346852944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JACKSON DR",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607109",
            "telephone_number": "203-928-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-928-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEOLI",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Shea, LCSW
• David Scott Shepherd Jr., PHARM.D.
• Judith A Shomsky
• Jasdeep Sidana, MD
• Katherine Siegel, APRN
• David B Simon, MD
• Janet Singer
• Erin Smith, OT
• Jonathan Scott Smith
• Teresa Smith, COTA/L

• Chiropractor in Orange, CT
• Providers in Orange, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.