Active NPI
Joanne Simbre
- Physical Therapist
- Ellicott City, MD
National Provider Identifier
1689812646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01302000
- Practice address
- 3272 Kaiser Dr
Ellicott City, MD 21043-4555 - Phone
- (646) 404-4470
- NPI assigned
- Jan 29, 2009
- 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 | 40QA01302000 | NJ | Primary |
Addresses
Primary practice location
3272 Kaiser Dr
Ellicott City, MD 21043-4555
Mailing address
3272 Kaiser Dr
Ellicott City, MD 21043-4555
Phone (646) 404-4470
Other names 1
- Joanne Ibarreta
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA01302000 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1689812646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3272 KAISER DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434555",
"telephone_number": "646-404-4470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3272 KAISER DR",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210434555",
"telephone_number": "646-404-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMBRE",
"first_name": "JOANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-29",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01302000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "IBARRETA",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.