Organization Active NPI

Steven Simmons DO PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Worth, TX
National Provider Identifier
1780023432
Registry record updated Jun 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
L3128 Issued in TX
Legal business name
STEVEN SIMMONS DO PLLC
Practice address
7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone
(817) 294-0934
NPI assigned
Jun 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2013

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

Authorized official

Name
Dr. Steven Simmons, DO
Title
Manager
Phone
(817) 294-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X L3128 TX Primary

Addresses

Primary practice location

7148 Trail Lake Dr
Fort Worth, TX 76123-1969

Mailing address

7148 Trail Lake Dr
Fort Worth, TX 76123-1969
Phone (817) 294-0934

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371859200000",
    "number": "1780023432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7148 TRAIL LAKE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761231969",
            "telephone_number": "817-294-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN SIMMONS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2013-06-22",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-294-0934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L3128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2013; 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.