Individual provider Active NPI

Emma V Simmons

  • Physical Therapist
  • D'Iberville, MS
National Provider Identifier
1629975685
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT8296 Issued in MS
Practice address
4016 Cassimer Ave
Diberville, MS 39540-2309
Phone
(228) 280-8120
NPI assigned
Oct 22, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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 PT8296 MS Primary

Addresses

Primary practice location

4016 Cassimer Ave
Diberville, MS 39540-2309

Mailing address

22 Cedarwood LN
Gulfport, MS 39503-6223
Phone (228) 280-8120

Other practice location 1

9036 Carl Legett Rd
Gulfport, MS 39503-6234
Phone (228) 280-8120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1629975685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CEDARWOOD LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036223",
            "telephone_number": "228-280-8120",
            "fax_number": "228-280-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 CASSIMER AVE",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402309",
            "telephone_number": "228-280-8120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9036 Carl Legett Rd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395036234",
            "country_code": "US",
            "telephone_number": "228-280-8120",
            "fax_number": "228-280-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "EMMA",
        "middle_name": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT8296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in D'Iberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.