Active NPI
Richard Domenic Simeoni, PT
- Orthopedic Physical Therapist
- New York, NY
National Provider Identifier
1417206806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 035068-1
- Practice address
- 885 2ND Ave
Lower Level
New York, NY 10017-2201 - Phone
- (212) 759-2882
- Fax
- (212) 759-2996
- NPI assigned
- Aug 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 035068-1 | NY | Primary |
Addresses
Primary practice location
885 2ND Ave
Lower Level
New York, NY 10017-2201
Mailing address
885 2ND Ave
Lower Level
New York, NY 10017-2201
Phone (212) 759-2882
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035068 | NY | MD | Mental Health Counselor |
| 035068-1 | NY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Sports Physical Therapy PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1457568750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346371200000",
"number": "1417206806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 2ND AVE",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172201",
"telephone_number": "212-759-2882",
"fax_number": "212-759-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 2ND AVE",
"address_2": "LOWER LEVEL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100172201",
"telephone_number": "212-759-2882",
"fax_number": "212-759-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMEONI",
"first_name": "RICHARD",
"middle_name": "DOMENIC",
"name_prefix": "Dr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-31",
"last_updated": "2012-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "035068-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.