Michael Jay Simmons, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007600 Issued in GA

Practice address

2740 Nautical Way
Villa Rica, GA 30180-8490

Phone

(770) 456-4435

NPI assigned

Apr 13, 2011

Sex

Male

Sole proprietor

No

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.

• Broad River Rehabilitation

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1902317589

  GA, Physical Therapist

  Medicare reassignment NPD
• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  GA, Physical Therapist

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in GA

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2012.

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1528358355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 NAUTICAL WAY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808490",
            "telephone_number": "770-456-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 NAUTICAL WAY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808490",
            "telephone_number": "770-456-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "007600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Schillinger, M.S., OTR/L
• William Schneider, M.D.
• Sandra Seegars Holmes
• Regine Tudor Senkyr
• Cory Clayton Shattles, RBT
• Emily Sims, NP
• Virginia Singer
• Sarah Sistrunk, LPC, MAC
• Stephanie Christine Sky, DNP-PMHNP-BC
• Derek Sloss, MD

• All providers in Villa Rica, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.