Active NPI
Cathie Ellen Simon, PT
- Physical Therapist
- Mastic, NY
National Provider Identifier
1851371140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 015929-1
- Practice address
- 1133 Montauk Hwy
Mastic, NY 11950-2918 - Phone
- (631) 467-4235
- Fax
- (631) 467-2655
- NPI assigned
- Jan 20, 2006
- Last updated
- Nov 6, 2008
- 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 | 015929-1 | NY | Primary |
Addresses
Primary practice location
1133 Montauk Hwy
Mastic, NY 11950-2918
Mailing address
68 Deer LN
Manorville, NY 11949-2970
Phone (631) 467-4235
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015929-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1851371140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 DEER LN",
"city": "MANORVILLE",
"state": "NY",
"postal_code": "119492970",
"telephone_number": "631-467-4235",
"fax_number": "631-467-2655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 MONTAUK HWY",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502918",
"telephone_number": "631-467-4235",
"fax_number": "631-467-2655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CATHIE",
"middle_name": "ELLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "015929-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.