Active NPI
Simone Monique Norman
- Physical Therapist
- Southlake, TX
National Provider Identifier
1487466009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1399549
- Practice address
- 180 State St Ste 225
Southlake, TX 76092-7632 - Phone
- (866) 839-6979
- NPI assigned
- Jan 21, 2025
- Sex
- Female
- 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 | 1399549 | TX | Primary |
Addresses
Primary practice location
180 State St Ste 225
Southlake, TX 76092-7632
Mailing address
180 State St Ste 225
Southlake, TX 76092-7632
Phone (866) 839-6979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250227003221 | TX | Practitioner - Physical Therapist in Private Practice | 4385164797 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Group Practice LLC
Practice addresses (Care Compare)
1720 N Plano Rd
Richardson, TX 75081-1903
Phone (945) 343-4421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1399549 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
800 Whitley Rd
Keller, TX 76248
Phone (817) 357-7181
Organizations & group practices 27
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.
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- Physical Therapist
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- NPI 1093389751
-
- Physical Therapist
- Germantown, TN
- NPI 1174308647
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- Physical Therapist
- Lisle, IL
- NPI 1275259798
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- Physical Therapist
- Murray, UT
- NPI 1275304495
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- Physical Therapist
- Suwanee, GA
- NPI 1295412773
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- Physical Therapist
- Onalaska, WI
- NPI 1306336565
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- Physical Therapist
- Boise, ID
- NPI 1346949443
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- Physical Therapist
- Fort Smith, AR
- NPI 1417340126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1487466009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 STATE ST STE 225",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927632",
"telephone_number": "866-839-6979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 STATE ST STE 225",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760927632",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "SIMONE",
"middle_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-21",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1399549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.