Clifton Simeus

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22641 Issued in FL

Practice address

2800 Fordham Rd NE
Palm Bay, FL 32905-4312

Phone

(321) 723-3288

NPI assigned

May 24, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1912572736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 FORDHAM RD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054312",
            "telephone_number": "321-723-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 FORDHAM RD NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054312",
            "telephone_number": "321-723-3288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 Bulldog Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013319",
            "country_code": "US",
            "telephone_number": "321-984-7966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMEUS",
        "first_name": "CLIFTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lequitta Shorter
• Susan Manuela Shumate, COTA/L
• Makayla Silva
• Noell Georgia-Amore Silvera
• Silversage Physician Services of Florida, PLLC
• Ivette Simpson, APRN-FNP
• Charmaine Singh
• Jessica Singh
• Ravinder H. Singh, MD
• SL Glenbrooke LLC

• Physical Therapy Assistant in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.