Active NPI
Christina N Sims, MPT
- Physical Therapist
- Marietta, GA
National Provider Identifier
1649349580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008203
- Practice address
- 3850 Canton Rd
Suite 1114
Marietta, GA 30066-2608 - Phone
- (678) 516-0895
- Fax
- (678) 281-7658
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008203 | GA | Primary |
Addresses
Primary practice location
3850 Canton Rd
Suite 1114
Marietta, GA 30066-2608
Mailing address
3850 Canton Rd
Suite 1114
Marietta, GA 30066-2608
Phone (678) 516-0895
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT008203 | Other | GA | STATE LISC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1649349580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3850 CANTON RD",
"address_2": "SUITE 1114",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662608",
"telephone_number": "678-516-0895",
"fax_number": "678-281-7658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3850 CANTON RD",
"address_2": "SUITE 1114",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662608",
"telephone_number": "678-516-0895",
"fax_number": "678-281-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "CHRISTINA",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "PT008203",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.