Doctor Name: | JEREMY K SIMMONS |
NPI Number: | 1013210020 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | PT25814 |
Business Practice Address: | 505 N Euclid St Suite 680 Anaheim, CA - 928015506 |
Business Phone Number: | 7147800010 |
Business Fax Number: | 7147800050 |
Mailing Address: | 200 Newport Center Dr, #213 NEWPORT BEACH |
State: | CA |
Postal Code: | 926607501 |
Phone Number: | 9496441322 |
Fax Number: | 9496440316 |
NPI Enumeration Date: | 12/13/2010 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |