Individual provider Active NPI

Spencer Simmons, DPT

  • Physical Therapist
  • Simsbury, CT
National Provider Identifier
1629594767
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011639 Issued in CT
Practice address
22 Woodcliff Dr
Simsbury, CT 06070-2837
Phone
(860) 670-7258
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011639 CT Primary
Physical Therapist 225100000X 042161 NY

Addresses

Primary practice location

22 Woodcliff Dr
Simsbury, CT 06070-2837

Mailing address

22 Woodcliff Dr
Simsbury, CT 06070-2837
Phone (860) 670-7258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210609003345 CT Practitioner - Physical Therapist in Private Practice 6103192406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spruce Brook Enterprises IncGroup PAC ID 0244756930, 4 clinicians

Practice addresses (Care Compare)

61 S Main St
FL 1
West Hartford, CT 06107-2486
Phone (860) 733-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011639CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spruce Brook Enterprises Inc Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients
Shuman Physical Therapy Associates, P.C. Physical Therapist PastSince Jul 29, 2020 Accepting new patients

Locations

61 S Main St
Fl 1
West Hartford, CT 06107
Phone (860) 733-1200

61 S Main St
West Hartfrd, CT 06107
Phone (860) 236-2566

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": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1629594767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODCLIFF DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702837",
            "telephone_number": "860-670-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WOODCLIFF DR",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060702837",
            "telephone_number": "860-670-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "SPENCER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011639",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simsbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.