Individual provider Active NPI

Kerry S Siman-Tov, PT

  • Physical Therapist
  • Hollywood, FL
National Provider Identifier
1437165347
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT6336 Issued in FL
Practice address
2450 Hollywood Blvd Ste 301B
Hollywood, FL 33020-6642
Phone
(754) 217-4188
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT6336 FL Primary

Addresses

Primary practice location

2450 Hollywood Blvd Ste 301B
Hollywood, FL 33020-6642

Mailing address

PO Box 813668
Hollywood, FL 33081-3668
Phone (754) 217-4188

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

LicenseStateTypeSpecialty
PT6336FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Archer Physical Therapy and Pilates Institute Inc CurrentSince Oct 15, 2008 Accepting new patients

Locations

2450 Hollywood Blvd
Ste 301B
Hollywood, FL 33020
Phone (754) 217-4188

19300 W Dixie Hwy
Unit 5
Miami, FL 33180
Phone (305) 454-9440

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1437165347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813668",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330813668",
            "telephone_number": "754-217-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 HOLLYWOOD BLVD STE 301B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206642",
            "telephone_number": "754-217-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAN-TOV",
        "first_name": "KERRY",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT6336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.