Active NPI
Sheryl L Simkins, PT PCS
- Pediatric Physical Therapist
- Bozeman, MT
National Provider Identifier
1710969878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 712PT
- Practice address
- 612 E Main St
Ste C
Bozeman, MT 59715-3726 - Phone
- (406) 522-3722
- Fax
- (406) 522-0018
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 712PT | MT | |
| Pediatric Physical Therapist | 2251P0200X | 712PT | MT | Primary |
| Orthotic Fitter | 225000000X | 712PT | MT |
Addresses
Primary practice location
612 E Main St
Ste C
Bozeman, MT 59715-3726
Mailing address
612 E Main St
Ste C
Bozeman, MT 59715-3726
Phone (406) 522-3722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5606515 | Medicaid | MT | |
| 0349520 | Medicaid | MT |
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 |
|---|---|---|---|
| 712PT | MT | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187568000000",
"number": "1710969878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 E MAIN ST",
"address_2": "STE C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153726",
"telephone_number": "406-522-3722",
"fax_number": "406-522-0018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E MAIN ST",
"address_2": "STE C",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153726",
"telephone_number": "406-522-3722",
"fax_number": "406-522-0018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMKINS",
"first_name": "SHERYL",
"middle_name": "L",
"credential": "PT PCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2007-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "712PT",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MT",
"license": "712PT",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "MT",
"license": "712PT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5606515",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349520",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.