Michael Dylan Simko

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604516 Issued in VA

Practice address

8312 Greeley Blvd
Springfield, VA 22152-2904

Phone

(571) 512-1478

NPI assigned

Oct 25, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1407510522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8312 GREELEY BLVD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522904",
            "telephone_number": "571-512-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8312 GREELEY BLVD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522904",
            "telephone_number": "571-512-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKO",
        "first_name": "MICHAEL",
        "middle_name": "DYLAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilbagh Singh Sidhu, M.D.
• Lindsey Nicole Siegmann, DPT
• Danielle Lynn Siekierski, RD
• Jose Silva, LCSW
• Scott Silver, FNP-BC
• Alicia Simmons, RBT
• Dawn Simpkins, BCBA
• Fredric Lester Singer, PH.D.
• Katherine Singer
• Priya Singh, MD

• Physical Therapy Assistant in Springfield, VA
• Providers in Springfield, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.