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NPI Code Detail

MEDICARE: SIMS PHYSICAL THERAPY INC

MEDICARE: SIMS PHYSICAL THERAPY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1GPT001690OTHERCASTATE MEDI-CAL PT GROUP #
2ZZZ52509ZOTHERCABLUE SHIELD PT GROUP #
3ZZZ65900ZOTHERCABLUE SHIELD OT GROUP #
40161641OTHERCACIGNA PROVIDER #
5GCT000560OTHERCASTATE MEDI-CAL OT GROUP #

General Provider Information

NPI Number : 1164445565
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMS PHYSICAL THERAPY INC
Provider Business Mailing Address
First Line : 2530 PROFESSIONAL PKWY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1602
Country : US
Telephone Number : 805-928-4465
Fax Number :
Provider Business Practice Location Address
First Line : 2530 PROFESSIONAL PKWY
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-1602
Country : US
Telephone Number : 805-928-4465
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. QUENTIN DOUGLAS SIMS
Credential : P.T.
Telephone Number : 805-928-4465
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/29/2015

Similar Medicare Providers

1316004252 — MR. QUENTIN DOUGLAS SIMS P.T.
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935
1902963879 — MEGAN LOUISE DIXON OTR/L
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935
1477610111 — ANGELA DAWN ERVIN OTRE
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935
1295892925 — ISRAEL ROBERT LONG MPT
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935
1063579910 — MR. GINO JOHN BRUNELLO P.T.
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935
1427198282 — LAUREL ANN MASON SLP
Practice Location Address:
2530 PROFESSIONAL PKWY
SANTA MARIA, CA
93455-1602
Practice Phone: 805-928-4465
Practice Fax: 805-928-7935

Directions to “SIMS PHYSICAL THERAPY INC ” Practice Location

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