Individual provider Active NPI

Jill Celia Simon, DPT

  • Physical Therapist
  • Arlington, TX
National Provider Identifier
1851058622
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1386171 Issued in TX
Practice address
520 Fielder North PLZ
Arlington, TX 76012
Phone
(817) 461-4257
Fax
(817) 461-4865
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25888 MA
Physical Therapist 225100000X 1386171 TX Primary

Addresses

Primary practice location

520 Fielder North PLZ
Arlington, TX 76012

Mailing address

3824 S Carrier Pkwy Ste 490
Grand Prairie, TX 75052-6668
Phone (972) 262-9972

Other practice location 1

137 W High St Ste 3
Elkton, MD 21921-8600
Phone (410) 392-7027

Other practice location 2

67 Parkhurst Rd Ste 3
Chelmsford, MA 01824-1518
Phone (781) 807-6139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MD, WA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20211203000801 MA Practitioner - Physical Therapist in Private Practice 9830589910 Reassigns benefits to 1 organization
I20231201001220 MD Practitioner - Physical Therapist in Private Practice 9830589910 Reassigns benefits to 2 organizations
I20250530003145 WA Practitioner - Physical Therapist in Private Practice 9830589910 Reassigns benefits to 1 organization
I20251104003757 CA Practitioner - Physical Therapist in Private Practice 9830589910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians
Monterey Spine and Joint PCGroup PAC ID 0840295721, 75 clinicians

Practice addresses (Care Compare)

135 W Fairhaven Ave
Burlington, WA 98233-1153
Phone (360) 755-9111

21 Lower Ragsdale Dr
Monterey, CA 93940-5827
Phone (831) 648-7200

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients
Monterey Spine & Joint PC CurrentSince Nov 10, 2025 Accepting new patients
Monterey Spine & Joint PC CurrentSince Nov 10, 2025 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

137 W High St
Ste 3A
Elkton, MD 21921
Phone (410) 392-7027

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

135 W Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-9111

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Interoperability endpoints

  • Direct secure messaging: jill.simon.p1@direct.msjhealth.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1851058622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S CARRIER PKWY STE 490",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750526668",
            "telephone_number": "972-262-9972",
            "fax_number": "972-262-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FIELDER NORTH PLZ",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76012",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 W High St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219218600",
            "country_code": "US",
            "telephone_number": "410-392-7027",
            "fax_number": "410-392-5768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 Parkhurst Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chelmsford",
            "state": "MA",
            "postal_code": "018241518",
            "country_code": "US",
            "telephone_number": "781-807-6139",
            "fax_number": "978-455-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JILL",
        "middle_name": "CELIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25888",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1386171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.