Active NPI
Deborah May Simonetti, PT
- Physical Therapist
- Lacey, WA
National Provider Identifier
1841263530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002344
- Practice address
- 4044 15TH Ave SE
Suite B
Lacey, WA 98503-6962 - Phone
- (360) 456-5154
- Fax
- (360) 456-0844
- NPI assigned
- Feb 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00002344 | WA | Primary |
Addresses
Primary practice location
4044 15TH Ave SE
Suite B
Lacey, WA 98503-6962
Mailing address
4044 15TH Ave SE
Suite B
Lacey, WA 98503-6962
Phone (360) 456-5154
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002344 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1841263530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4044 15TH AVE SE",
"address_2": "SUITE B",
"city": "LACEY",
"state": "WA",
"postal_code": "985036962",
"telephone_number": "360-456-5154",
"fax_number": "360-456-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4044 15TH AVE SE",
"address_2": "SUITE B",
"city": "LACEY",
"state": "WA",
"postal_code": "985036962",
"telephone_number": "360-456-5154",
"fax_number": "360-456-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONETTI",
"first_name": "DEBORAH",
"middle_name": "MAY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-11",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.