Healthcare Provider Details

I. General information

NPI: 1952649196
Provider Name (Legal Business Name): ANN SIMSAR DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2013
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9097 E DESERT COVE AVE STE 110
SCOTTSDALE AZ
85260-6276
US

IV. Provider business mailing address

5040 N 15TH AVE STE 401
PHOENIX AZ
85015-3332
US

V. Phone/Fax

Practice location:
  • Phone: 480-551-4967
  • Fax: 480-860-0356
Mailing address:
  • Phone: 602-285-0949
  • Fax: 602-285-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10057
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: