Individual provider Active NPI

Simonne Bresch Meade, MPT

  • Physical Therapist
  • Virginia Beach, VA
National Provider Identifier
1891880746
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305202647 Issued in VA
Practice address
2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone
(757) 578-2197
Fax
(757) 578-2330
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010151 GA
Physical Therapist 225100000X 2305202647 VA Primary
Physical Therapist 225100000X P11637 NC
Physical Therapist 225100000X 37718 CA
Physical Therapist 225100000X 5735 SC

Addresses

Primary practice location

2126 Great Neck SQ
Virginia Beach, VA 23454-2202

Mailing address

7218 Atlantic Ave
Virginia Beach, VA 23451-2029
Phone (804) 529-5178

Other practice location 1

1849 Old Donation Pkwy
Virginia Beach, VA 23454-3004
Phone (757) 422-8476

Other practice location 2

765 Northumberland Hwy
Callao, VA 22435-2206
Phone (804) 529-5178

Other identifiers 1

IdentifierTypeStateIssuer
388305OtherCHAMPUS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111206000372 VA Practitioner - Physical Therapist in Private Practice 1456526243 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Beach Physical Therapy and Wellness , PLLCGroup PAC ID 0840584439, 4 clinicians

Practice addresses (Care Compare)

2126 Great Neck SQ
Virginia Beach, VA 23454-2202
Phone (757) 714-6058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010151GAMDPhysical Therapist
P11637NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthovirginia Inc Physical Therapist Current Accepting new patients
Abilities Abound Physical Therapy and Wellness Center PLLC Physical Therapist CurrentSince Dec 14, 2021 Accepting new patients
Virginia Beach Physical Therapy & Wellness , PLLC Physical Therapist CurrentSince Aug 1, 2019 Accepting new patients
Orthovirginia, Inc CurrentSince Feb 27, 2019 Accepting new patients
Essex Physical Therapy, Inc. Physical Therapist CurrentSince Mar 10, 2022 Accepting new patients
Loudoun Physical Therapy, Inc. Physical Therapist PastSince Oct 1, 1998 Accepting new patients
Get Balanced 4 Life PastSince Dec 14, 2021 Accepting new patients
Virginia Hospital Center Arlington Health System Past Accepting new patients
Atlantic Physical Therapy PC Physical Therapist Past Accepting new patients

Locations

765 Northumberland Hwy
Callao, VA 22435
Phone (804) 529-5178

8200 Meadowbridge Rd
Ste 200
Mechanicsville, VA 23116
Phone (804) 560-5595

900 Church Ln
Tappahannock, VA 22560
Phone (804) 443-4850

1849 Old Donation Pkwy
Virginia Beach, VA 23454
Phone (757) 422-8476

2126 Great Neck Sq
Virginia Beach, VA 23454
Phone (757) 578-2197

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1891880746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 ATLANTIC AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234512029",
            "telephone_number": "804-529-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 GREAT NECK SQ",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542202",
            "telephone_number": "757-578-2197",
            "fax_number": "757-578-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1849 Old Donation Pkwy",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543004",
            "country_code": "US",
            "telephone_number": "757-422-8476",
            "fax_number": "757-425-8476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "765 Northumberland Hwy",
            "address_purpose": "LOCATION",
            "city": "Callao",
            "state": "VA",
            "postal_code": "224352206",
            "country_code": "US",
            "telephone_number": "804-529-5178",
            "fax_number": "804-529-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADE",
        "first_name": "SIMONNE",
        "middle_name": "BRESCH",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010151",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305202647",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11637",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37718",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5735",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "388305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.