Dierdre Simmons, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02558 Issued in IA

Practice address

715 SW Ankeny Rd
Ankeny, IA 50023-9798

Phone

(515) 965-1339

Fax

(515) 964-0567

NPI assigned

Feb 21, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mercy Clinics, Inc.

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1508035890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-965-1339",
            "fax_number": "515-964-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SW ANKENY RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500239798",
            "telephone_number": "515-965-1339",
            "fax_number": "515-964-0567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12493 University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503258286",
            "country_code": "US",
            "telephone_number": "515-358-9461",
            "fax_number": "515-358-9489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DIERDRE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "02558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anam Shuaib
• Jeffrey James Shymanski, AU.D., CCC-A
• Peter James Sieck
• Alexis Ann Siefken, LMHC
• Betsy Sigler, DO
• Simms Family Chiropractic, LLC
• Rob Alan Simms, D.C.
• Stephanie Sinclair, ARNP
• Sydney Leslie Sinclair
• Leea Sindelar

• Physical Therapist in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.

Verify at the official NPI Registry.