Individual provider Active NPI

Simi John, DPT

  • Physical Therapist
  • Norman, OK
National Provider Identifier
1568146124
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4390 Issued in OK
Practice address
3400 W Tecumseh Rd Ste 103
Norman, OK 73072-1810
Phone
(405) 515-8080
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4390 OK Primary

Addresses

Primary practice location

3400 W Tecumseh Rd Ste 103
Norman, OK 73072-1810

Mailing address

6301 NW 155TH St
Edmond, OK 73013-8921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810003549 OK Practitioner - Physical Therapist in Private Practice 4688036411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho CentralGroup PAC ID 9830526615, 33 clinicians

Practice addresses (Care Compare)

2201 Trae Young Dr
Suite 105
Norman, OK 73069-5092
Phone (405) 515-8080

3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone (405) 515-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4390OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Central CurrentSince Jul 10, 2023 Accepting new patients
Ortho Central Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients

Locations

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 515-0649

2201 Trae Young Dr
Ste 105
Norman, OK 73069
Phone (405) 515-8080

3400 W Tecumseh Rd
Ste 103
Norman, OK 73072
Phone (405) 307-6915

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1568146124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW 155TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W TECUMSEH RD STE 103",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721810",
            "telephone_number": "405-515-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "SIMI",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.