Active NPI
Jennifer R Simmons, PT, DPT
- Pediatric Physical Therapist
- Bronx, NY
National Provider Identifier
1780837252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 017686-1
- Practice address
- 1623 Haight Ave
#2
Bronx, NY 10461-1503 - Phone
- (914) 282-7585
- Fax
- (347) 293-6777
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 017686-1 | NY | Primary |
Addresses
Primary practice location
1623 Haight Ave
#2
Bronx, NY 10461-1503
Mailing address
1623 Haight Ave
#2
Bronx, NY 10461-1503
Phone (914) 282-7585
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017686-1 | NY | MD | Pediatric Physical Therapist |
| 017686 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer R. Simmons, PT, PC | Pediatrics | Past | 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": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1780837252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 HAIGHT AVE",
"address_2": "#2",
"city": "BRONX",
"state": "NY",
"postal_code": "104611503",
"telephone_number": "914-282-7585",
"fax_number": "347-293-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 HAIGHT AVE",
"address_2": "#2",
"city": "BRONX",
"state": "NY",
"postal_code": "104611503",
"telephone_number": "914-282-7585",
"fax_number": "347-293-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "017686-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.