Polly A Simon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

227 S Bridge St
Grand Ledge, MI 48837-1591

Phone

(616) 256-0755

NPI assigned

Jun 24, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1396589271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 DAN C LN",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759552",
            "telephone_number": "616-256-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S BRIDGE ST",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371591",
            "telephone_number": "616-256-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "POLLY",
        "middle_name": "A",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Rose Kujawa Shiflett, LMSW
• Karson James Shirey
• Philip R Shriner, DDS
• Jennifer Sidel
• Christine Ann-Avery Simon, RN
• Craig Allan Skinner
• Kelly L. Skrzypchak, LMSW
• David J Smith, M.D.
• Eric G Smith, MD
• Timothy D Smith, PHARMACIST

• Massage Therapist in Grand Ledge, MI
• Providers in Grand Ledge, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.