Barry Neil Simon Jr., MPT, MS

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT012682L Issued in PA

Practice address

438 Pennsylvania Ave W
Warren, PA 16365-2238

Phone

(814) 688-0933

Fax

(814) 728-6045

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1841490158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 KINZUA RD",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163659628",
            "telephone_number": "814-723-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 PENNSYLVANIA AVE W",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652238",
            "telephone_number": "814-688-0933",
            "fax_number": "814-728-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BARRY",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MPT, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "PA",
            "license": "PT012682L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018839230004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Leigh Shene, ATC
• Melissa D Shene, CRNP
• Jessica S Shepherd, DO
• Leeann Marie Sholl, LMT, PTA
• Kathy Simanowski, CRNA
• Ronald William Simonsen, MD
• Kristi Rae Simpson, PA-C
• Stanley J Sivak, M.D.
• Terry Lee Slingluff, LCSW
• Christine L Smith, NBC-HWC

• Pediatric Physical Therapist in Warren, PA
• Providers in Warren, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.