Individual provider Active NPI

Geoffrey Wayne Simmons, PT

  • Physical Therapist
  • Midland, TX
National Provider Identifier
1942376769
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1125888 Issued in TX
Practice address
3003 N a St
Midland, TX 79705-5304
Phone
(432) 684-7755
Fax
(432) 684-7962
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1125888 TX Primary

Addresses

Primary practice location

3003 N a St
Midland, TX 79705-5304

Mailing address

3003 N a St
Midland, TX 79705-5304
Phone (432) 618-9952

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060310000191 TX Practitioner - Physical Therapist in Private Practice 1153338413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of Midland Aquatics IncGroup PAC ID 6002816881, 5 clinicians

Practice addresses (Care Compare)

3003 N 'a' St
Midland, TX 79705-5304
Phone (432) 618-9952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1125888TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
City of Midland Aquatics Inc Physical Therapist CurrentSince Mar 5, 2007 Accepting new patients

Locations

3003 N A St
Midland, TX 79705
Phone (432) 618-9952

Organizations & group practices 1

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": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1942376769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N A ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055304",
            "telephone_number": "432-618-9952",
            "fax_number": "432-618-9953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N A ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797055304",
            "telephone_number": "432-684-7755",
            "fax_number": "432-684-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "GEOFFREY",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1125888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.