Kirsten Simon, PT
Individual provider Active NPI Physical Therapist · Edmond, OK
NPI 1538877832 · NPPES record last updated Nov 7, 2022
Key facts
- NPI
- 1538877832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6249 (OK)
- Practice address
- 3125 N Sooner Rd Ste 150
Edmond, OK 73034-8333 - Phone
- (405) 285-9659
- Fax
- (405) 920-6070
- NPI assigned
- Nov 7, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Function Physical Therapy, LLC
Practice addresses (Care Compare)
2412 NW 178TH St
Edmond, OK 73012-4565
Phone 40528596591
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230321000523 | OK | Practitioner - Physical Therapist in Private Practice | 8123490232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6249 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Function Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
16502 N Pennsylvania Ave
Ste C
Edmond, OK 73012
Phone (405) 285-9659
3125 N Sooner Rd
Ste 150
Edmond, OK 73034
Phone (405) 285-9659
2412 NW 178th St
Edmond, OK 73012
Phone (405) 285-9659
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6249 | OK | Yes |
Addresses
Primary practice location
3125 N Sooner Rd Ste 150
Edmond, OK 73034-8333
Mailing address
3125 N Sooner Rd Ste 150
Edmond, OK 73034-8333
Phone (405) 285-9659
Other practice location 1
16502 N Pennsylvania Ave Ste C
Edmond, OK 73012-9126
Phone (405) 285-9659
Other providers in Edmond, OK
- Grace Simmons
- Mackinzie Simmons
- Jane Tullos Simms
- Laporshia Simms
- Johanna K. Simon
- Louis Scott Simon
- Richard Victor Simon
- Simplycalm, LLC
- Simpson Counseling Services
- Chadley Blaine Simpson
All providers in Edmond, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.