SIMMONS PHYSICAL THERAPY, INC. (NPI# 1578547410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578547410 |
| Entity Type | Organization |
| Organization Name | SIMMONS PHYSICAL THERAPY, INC. |
| Practice Address |
285 N El Camino Real Suite 202 Encinitas CA 92024-5383 |
| Practice Telephone | 7606331345 |
| Practice Fax Number | 7606331419 |
| Mailing Telephone | 7606331345 |
| Mailing Fax Number | 7606331419 |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2018-10-29 |
| Authorized Official Name | MR. THOMAS C SIMMONS (CEO/PRESIDENT) |
| Authorized Official Telephone | 7606331345 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
PT11587 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | P.T. STATE LICENSE NUMBER | PT11587 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9909 Mira Mesa Blvd Ste 260, San Diego, CA 921311064 | 8583859400 |
| Street Address |
285 N EL CAMINO REAL SUITE 202 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083608533 | Charles Atwood Adams | Psychiatry & Neurology | 285 N El Camino Real, Suite 219, Encinitas, CA 92024-5383 | 2005-09-09 |
| 1336592765 | Caroline Cavender Maehler | Marriage & Family Therapist | 285 N El Camino Real, Encinitas, CA 92024-5383 | 2016-07-20 |
| 1144688128 | Aesthetically Pleasing Medical Spa, Inc. | Clinic/Center | 285 N El Camino Real, Suite 204, Encinitas, CA 92024-5383 | 2016-02-04 |
| 1861858482 | Stacy Grissen | Nurse Practitioner | 285 N El Camino Real, Suite 204, Encinitas, CA 92024-5383 | 2016-01-12 |
| 1740654979 | Aesthetically Pleasing, A Nursing Corp | Nurse Practitioner | 285 N El Camino Real, Suite 204, Encinitas, CA 92024-5383 | 2015-11-27 |
| 1821405390 | Good Therapy San Diego | Psychologist | 285 N El Camino Real, Ste 218, Encinitas, CA 92024-5383 | 2014-07-16 |
| 1114270725 | Catherine Brooks | Social Worker | 285 N El Camino Real, Suite 218, Encinitas, CA 92024-5383 | 2012-10-19 |
| 1578729695 | Peggy Anne Raikes | Acupuncturist | 285 N El Camino Real, Suite 211, Encinitas, CA 92024-5383 | 2008-07-29 |
| 1205009990 | Lanny Scott Payne | Dentist | 285 N El Camino Real, Suite # 102, Encinitas, CA 92024-5383 | 2008-04-02 |
| 1245458462 | Isabel David | Dentist | 285 N El Camino Real, Suite #112, Encinitas, CA 92024-5383 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1083239875 | Physiotherapy Associates, Inc. | Clinic/Center | 6400 Village Pkwy Ste 104, Dublin, CA 94568-3007 | 2020-06-08 |
| 1497385017 | Matrix Rehabilitation, Inc. | Clinic/Center | 420 E 3rd St Ste 701, Los Angeles, CA 90013-1646 | 2020-01-23 |
| 1326689050 | Physiotherapy Associates, Inc. | Clinic/Center | 1470 Civic Ct Ste 320, Concord, CA 94520-5230 | 2019-10-03 |
| 1023661246 | Physiotherapy Associates, Inc. | Clinic/Center | 6200 Wilshire Blvd Ste 906, Los Angeles, CA 90048-5810 | 2019-07-17 |
| 1821556689 | Top Tier Rehab & Performance | Clinic/Center | 45 Tulare Dr, Aliso Viejo, CA 92656-8084 | 2019-03-11 |
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.