Doctor Name: | JOHN SIMMONS |
NPI Number: | 1174677173 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 095511 |
Business Practice Address: | 225 Community Drive Suite 10 Great Neck, NY - 110215506 |
Business Phone Number: | 5168297639 |
Business Fax Number: | 5168297352 |
Mailing Address: | 225 Community Dr, GREAT NECK |
State: | NY |
Postal Code: | 110215506 |
Phone Number: | 5168297639 |
Fax Number: | 5768297352 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 095511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |