Mark Samuel Simone, PHYSICAL THERAPIST

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT15218 Issued in CA

Practice address

14622 Ventura Blvd
Suite 102/Unit 550
Sherman Oaks, CA 91403-3600

Phone

(818) 480-8397

Fax

(818) 788-7254

NPI assigned

Jun 25, 2010

Last updated

Jun 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quality Care Inc

  dba Quality Care

  • Physical Medicine & Rehabilitation Physician
  • Laguna Beach, CA
  • NPI 1841351160

  Physical Therapist

  Medicare reassignment NPD
• Quality Care,Inc.

  • Occupational Therapist
  • Laguna Beach, CA
  • NPI 1285795286
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1871804724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE 102/UNIT 550",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-480-8397",
            "fax_number": "818-788-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14622 VENTURA BLVD",
            "address_2": "SUITE 102/UNIT 550",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033600",
            "telephone_number": "818-480-8397",
            "fax_number": "818-788-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "MARK",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT15218",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT15218",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT15218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey Henoch Silverberg, M.D.
• Leah Silverman, MA
• Mitchel U Silverman, MD
• Maeina Cruz Simmons
• Robert Jeffrey Simon, MD
• Brianna Simpson
• Vicky Wai Kei Sin, M.S., CCC-SLP
• Sinai Medical Transportation LLC
• Pamela M Singer, PSY.D.
• Rylee Singer

• Geriatric Physical Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.