Tatyana Simelgor, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7114 Issued in MN

Practice address

15290 Pennock Lane
Apple Valley, MN 55124

Phone

(952) 953-3711

Fax

(651) 646-3256

NPI assigned

Feb 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bodyfix Physical Therapy LLC

  • Physical Therapist
  • Rosemount, MN
  • NPI 1407356157
  NPD Authorized official

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1821063660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13956 CLOVER LN",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550687145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15290 PENNOCK LANE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "55124",
            "telephone_number": "952-953-3711",
            "fax_number": "651-646-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMELGOR",
        "first_name": "TATYANA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Sierra, MD
• Jeffrey Lloyd Sikkink, MD
• Cindy Marie Silbernagel, D.C.
• Tanya Lissette Silva
• Silverman Orthopaedics, PC
• Dennis C Simmons, D.D.S.
• Richard J Sinda
• Anuja Singh, MD
• Nadina Singh, MA
• Justin A. Siple, D.C.

• Physical Therapist in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; 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.