Individual provider Active NPI

Angela Ann Simmonds, P.T.

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1740408541
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 28305 Issued in CA
Practice address
9201 West Sunset Blvd
Suite M 140
West Hollywood, CA 90069
Phone
(310) 860-9720
Fax
(310) 860-9740
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 PT 28305 CA Primary

Addresses

Primary practice location

9201 West Sunset Blvd
Suite M 140
West Hollywood, CA 90069

Mailing address

9201 West Sunset Blvd
Suite M 140
West Hollywood, CA 90069
Phone (310) 860-9720

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

LicenseStateTypeSpecialty
PT 28305CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function Physical Therapy Inc Physical Therapist PastSince Jan 1, 2006 Accepting new patients

Organizations & group practices 1

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1740408541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 WEST SUNSET BLVD",
            "address_2": "SUITE M 140",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-860-9720",
            "fax_number": "310-860-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 WEST SUNSET BLVD",
            "address_2": "SUITE M 140",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "310-860-9720",
            "fax_number": "310-860-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "ANGELA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 28305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.