Individual provider Active NPI

Megan Faye Simmet, DPT

  • Physical Therapist
  • Jacksonville, NC
National Provider Identifier
1619711447
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP038593T Issued in NC
Practice address
2457 Gum Branch Rd Ste 600700
Jacksonville, NC 28540-4008
Phone
(910) 938-7555
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05015582A IN
Physical Therapist 225100000X CP031949T ND
Physical Therapist 225100000X 5501303289 MI
Physical Therapist 225100000X CP038593T NC Primary

Addresses

Primary practice location

2457 Gum Branch Rd Ste 600700
Jacksonville, NC 28540-4008

Mailing address

1026 Chestnut St
Anderson, IN 46012-4123
Phone (765) 622-5330

Other practice location 1

1026 Chestnut St
Anderson, IN 46012-4123
Phone (765) 622-5330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250112000002 NC Practitioner - Physical Therapist in Private Practice 3072041557 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05015582AINMDPhysical Therapist
5501303289MIMDPhysical Therapist
CP038593TNCMDPhysical Therapist
CP031949TNDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Sports and Physical Therapy, LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

2457 Gum Branch Rd
Ste 600700
Jacksonville, NC 28540
Phone (910) 938-7555

2457 Gum Branch Rd
Ste 600
Jacksonville, NC 28540
Phone (910) 938-7555

2009 Neuse Blvd
New Bern, NC 28560
Phone (252) 636-9800

Organizations & group practices 1

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": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1619711447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 CHESTNUT ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124123",
            "telephone_number": "765-622-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2457 GUM BRANCH RD STE 600700",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285404008",
            "telephone_number": "910-938-7555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460124123",
            "country_code": "US",
            "telephone_number": "765-622-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMET",
        "first_name": "MEGAN",
        "middle_name": "FAYE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015582A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "CP031949T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303289",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP038593T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.