Individual provider Active NPI

Marinell Padilla Simkins

  • Geriatric Physical Therapist
  • Hudson, FL
National Provider Identifier
1992390447
Registry record updated Mar 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Practice address
7927 State Road 52
Hudson, FL 34667-6783
Phone
(727) 863-5808
NPI assigned
Mar 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251G0304X Primary

Addresses

Primary practice location

7927 State Road 52
Hudson, FL 34667-6783

Mailing address

8131 Pea Tree CT
Trinity, FL 34655-5181
Phone (727) 505-6342

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Hudson Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1614988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1992390447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 PEA TREE CT",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555181",
            "telephone_number": "727-505-6342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 STATE ROAD 52",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676783",
            "telephone_number": "727-863-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMKINS",
        "first_name": "MARINELL",
        "middle_name": "PADILLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-06",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hudson",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Hudson",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Hudson",
            "address_1": "7927 State Road 52",
            "city": "Hudson",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346676783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.