Individual provider Active NPI

Yosmen Hector Simon, PTA

  • Physical Therapy Assistant
  • Miami Beach, FL
National Provider Identifier
1780277855
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA30856 Issued in FL
Practice address
8329 Byron Ave Apt 8
Miami Beach, FL 33141-1425
Phone
(786) 260-1441
NPI assigned
Feb 18, 2021
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA30856 FL Primary

Addresses

Primary practice location

8329 Byron Ave Apt 8
Miami Beach, FL 33141-1425

Mailing address

8329 Byron Ave Apt 8
Miami Beach, FL 33141-1425
Phone (786) 260-1441

Other identifiers 1

IdentifierTypeStateIssuer
7862601441MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.devotedpt.com

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
PTA30856FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1780277855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 BYRON AVE APT 8",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411425",
            "telephone_number": "786-260-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BYRON AVE APT 8",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331411425",
            "telephone_number": "786-260-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "YOSMEN",
        "middle_name": "HECTOR",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7862601441",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.devotedpt.com",
            "affiliation": "N",
            "address_1": "8329 Byron Ave Apt 8",
            "city": "Miami Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331411425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.