Kenneth Neil Simons, PT,DPT, MS,OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT966 Issued in ME

Practice address

1068 Main St
Suite a
Sanford, ME 04073-3606

Phone

(207) 324-6789

Fax

(207) 324-9394

NPI assigned

Jun 2, 2006

Last updated

Aug 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopaedic Physical Therapy Associates

  • Orthopedic Physical Therapist
  • Sanford, ME
  • NPI 1467488890
  Medicare reassignment NPD Authorized official
• Orthopaedic Physical Therapy Associates

  • Orthopedic Physical Therapist
  • Scarborough, ME
  • NPI 1063622702
  NPD Authorized official
• Everything in Between, LLC

  • Occupational Therapist
  • Springvale, ME
  • NPI 1477190650
  NPD

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1760429096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 MAIN ST",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733606",
            "telephone_number": "207-324-6789",
            "fax_number": "844-292-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 MAIN ST",
            "address_2": "SUITE A",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040733606",
            "telephone_number": "207-324-6789",
            "fax_number": "207-324-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "KENNETH",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "PT,DPT, MS,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "ME",
            "license": "PT966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041390",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277030099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "034720",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "048994",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent E Shomaker, MD
• Chelsea Grace Shultis, DC
• Caitlin Danielle Sidley, RN
• John Simonds
• Gwendolyn Jane Simons, PT,JD,OCS,FAAOMPT
• Wendy Skahan, MS, OTR/L
• Julianne Smith, LCPC
• Natalie Solari, DMD
• Christian Thomas Sorenson, PA-C
• Southern Maine Eye Associates

• Orthopedic Physical Therapist in Sanford, ME
• Providers in Sanford, ME by specialty
• Orthopedic Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.