Active NPI
Sammy James Simons, PT
- Physical Therapist
- Athens, OH
National Provider Identifier
1386851921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7058
- Practice address
- 75 Hospital Drive
Culvop Center
Athens, OH 45701 - Phone
- (740) 592-9326
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7058 | OH | Primary |
Addresses
Primary practice location
75 Hospital Drive
Culvop Center
Athens, OH 45701
Mailing address
W 290 Grover Center
Ohio University Therapy Associates
Athens, OH 45701-2979
Phone (740) 593-0820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000163115 | Other | ANTHEM | |
| 062447 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7058 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386851921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W 290 GROVER CENTER",
"address_2": "OHIO UNIVERSITY THERAPY ASSOCIATES",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012979",
"telephone_number": "740-593-0820",
"fax_number": "740-592-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HOSPITAL DRIVE",
"address_2": "CULVOP CENTER",
"city": "ATHENS",
"state": "OH",
"postal_code": "45701",
"telephone_number": "740-592-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "SAMMY",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "7058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000163115",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "062447",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.