Active NPI
Laura Lee Simmons, P.T.
- Physical Therapist
- Jackson, WY
National Provider Identifier
1528014768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1126
- Practice address
- 555 E Broadway
Jackson, WY 83001-9496 - Phone
- (307) 733-3900
- NPI assigned
- May 26, 2006
- Last updated
- Aug 14, 2009
- 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 | PT1126 | WY | Primary |
Addresses
Primary practice location
555 E Broadway
Jackson, WY 83001-9496
Mailing address
555 E Broadway
P.O. Box 10490
Jackson, WY 83001-9496
Phone (307) 733-3900
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 |
|---|---|---|---|
| 1126 | WY | MD | Mental Health Counselor |
| PT1126 | WY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1528014768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 E BROADWAY",
"address_2": "P.O. BOX 10490",
"city": "JACKSON",
"state": "WY",
"postal_code": "830019496",
"telephone_number": "307-733-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E BROADWAY",
"city": "JACKSON",
"state": "WY",
"postal_code": "830019496",
"telephone_number": "307-733-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "LAURA",
"middle_name": "LEE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "PT1126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.