Susan Simons, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60214138 Issued in WA

Practice address

4015 164TH St SW
Lynnwood, WA 98087-6902

Phone

(425) 640-8529

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• On Site Dermatology of Washington PLLC

  • Dermatology Physician
  • Seattle, WA
  • NPI 1083135693
  NPD (past)
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1962868380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 164TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876902",
            "telephone_number": "425-640-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 164TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876902",
            "telephone_number": "425-640-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "SUSAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60214138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Sim, DC
• Morgan Simkins
• Joan S Simon Oncken, LMFT
• Taylor Simon
• Deedra Ann Simonelli, MA60228974
• Katlyn Leigh Simonsen
• Dawn Mary Simpson
• Edgar Allan Sinfuego, MS, MA
• Deborah Singer
• Julie Kae Singh, LMP

• Physical Therapy Assistant in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.