Individual provider Active NPI

Nicholas Simmons, DPT

  • Physical Therapist
  • Bakersfield, CA
National Provider Identifier
1821478488
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 42528 Issued in CA
Practice address
3700 Gosford Rd
Suite G
Bakersfield, CA 93309-7694
Phone
(661) 832-9737
Fax
(661) 832-9738
NPI assigned
Jun 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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 PT 42528 CA Primary

Addresses

Primary practice location

3700 Gosford Rd
Suite G
Bakersfield, CA 93309-7694

Mailing address

1201 23Rd St
Unit 907
Bakersfield, CA 93301-2306
Phone (949) 370-3146

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
42528CAMDGeneral Practice Dentistry
PT 42528CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glinn and Giordano Physical Therapy Inc. Physical Therapist PastSince May 3, 2016 Accepting new patients
Richards Physical Therapy Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1821478488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 23RD ST",
            "address_2": "UNIT 907",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012306",
            "telephone_number": "949-370-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GOSFORD RD",
            "address_2": "SUITE G",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097694",
            "telephone_number": "661-832-9737",
            "fax_number": "661-832-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 42528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.