MS. JESSICA E. SIMBRO (NPI# 1720167083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720167083 |
| Entity Type | Individual |
| Full Name | MS. JESSICA E. SIMBRO |
| Credential | P.T. |
| Practice Address |
1014 Sycamore Dr Ste. B Decatur GA 30030-1644 |
| Mailing Address |
960 E Paces Ferry Rd Ne Apt. 358 Atlanta GA 30326-1124 |
| Practice Telephone | 4042996060 |
| Practice Fax Number | 4042991616 |
| Mailing Telephone | 4044414410 |
| Mailing Fax Number | 4042991616 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT007055 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE BOARD OF P.T. | PT007055 | 01 |
| Street Address |
1014 SYCAMORE DR STE. B |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770528895 | Valerie Lynne Compson | Specialist/Technologist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2006-06-20 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1104274323 | Monal, LLC | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2016-05-27 |
| 1265849343 | Gary Anthony Rudolph Bowen | Physician Assistant | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2014-07-21 |
| 1275760720 | Daniel Thomas Huttman | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-06-11 |
| 1346474004 | Amanda Lauren Dempsey | Orthopaedic Surgery | 1014 Sycamore Dr, Suite B, Decatur, GA 30030-1644 | 2009-05-11 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1700965159 | Diana Spock Adebulehin | Physician Assistant | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1790864049 | Timothy J. Mills | Registered Nurse | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| 1396824991 | Corey Darnell Bennett | Specialist/Technologist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-03 |
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| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598287609 | Lance Frank | Physical Therapist | 755 Commerce Dr Ste 712, Decatur, GA 30030-2621 | 2017-07-11 |
| 1366514945 | Patrick G Swinea | Physical Therapist | 1117 16th Ave Se, Decatur, AL 35601-3534 | 2006-11-15 |
| 1972539880 | Donald J Crochet | Physical Therapist | 1382 Scott Blvd, Suite A, Decatur, GA 30030-1421 | 2006-06-23 |
| 1568737849 | Myofascial Physiocare LLC | Physical Therapist | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2012-03-20 |
| 1750697033 | Mary B Jesse | Physical Therapist | 1830 S 44th St, Decatur, IL 62521-5147 | 2010-08-25 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1558433144 | Brian P Robertson | Physical Therapist | 1117 16th Ave Se, Decatur, AL 35601-3534 | 2006-11-15 |
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|---|---|---|---|---|
| 1871100479 | Production Physicos,llc | Physical Therapist | 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 | 2020-09-28 |
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1841801644 | Noah Konner Lindsey | Physical Therapist | 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 | 2020-08-14 |
| 1942810106 | Caitlin M Hesse | Physical Therapist | 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 | 2020-08-03 |
| 1669007316 | Dynamic Swing Performance, LLC | Physical Therapist | 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 | 2020-03-03 |
| 1356810113 | Ryan Daniel Ahlenius | Physical Therapist | 6360 Dove Dr, Loganville, GA 30052-3031 | 2018-11-21 |
| 1720557127 | Dr. Tiffany Lamonde LLC | Physical Therapist | 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 | 2018-11-15 |
| 1700363686 | Jason Y Kawamura | Physical Therapist | 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 | 2018-07-24 |
| 1649766528 | Carrie Elizabeth Dendtler | Physical Therapist | 320 Montgomery Ave, Alpharetta, GA 30004-3163 | 2018-07-03 |
| 1558853085 | Re Generate Physiotherapy, LLC | Physical Therapist | 1240 Ga-54, Building 700, Fayetteville, GA 30214 | 2018-05-31 |
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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.