Individual provider Active NPI

Sherry B Simsuangco, PT, DPT

  • Physical Therapist
  • Artesia, CA
National Provider Identifier
1821034893
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28304 Issued in CA
Practice address
17906 Pioneer Blvd
Suite 101 - 102
Artesia, CA 90701-2633
Phone
(562) 865-2222
Fax
(888) 423-0080
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 PT28304 CA Primary

Addresses

Primary practice location

17906 Pioneer Blvd
Suite 101 - 102
Artesia, CA 90701-2633

Mailing address

17906 Pioneer Blvd
Suite 101 - 102
Artesia, CA 90701-2633
Phone (562) 865-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000755 CA Practitioner - Physical Therapist in Private Practice 2769406586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimum Care Physical Therapy ServicesGroup PAC ID 1153320239, 6 clinicians

Practice addresses (Care Compare)

17906 Pioneer Blvd
Suite 101And102
Artesia, CA 90701-3972
Phone (562) 865-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28304CAMDLicensed Psychiatric Technician

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1821034893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17906 PIONEER BLVD",
            "address_2": "SUITE 101 - 102",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907012633",
            "telephone_number": "562-865-2222",
            "fax_number": "888-423-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17906 PIONEER BLVD",
            "address_2": "SUITE 101 - 102",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907012633",
            "telephone_number": "562-865-2222",
            "fax_number": "888-423-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMSUANGCO",
        "first_name": "SHERRY",
        "middle_name": "B",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.