Healthcare Provider Details

I. General information

NPI: 1164445565
Provider Name (Legal Business Name): SIMS PHYSICAL THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 01/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 PROFESSIONAL PKWY
SANTA MARIA CA
93455-1602
US

IV. Provider business mailing address

2530 PROFESSIONAL PKWY
SANTA MARIA CA
93455-1602
US

V. Phone/Fax

Practice location:
  • Phone: 805-928-4465
  • Fax:
Mailing address:
  • Phone: 805-928-4465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MR. QUENTIN DOUGLAS SIMS
Title or Position: CEO
Credential: P.T.
Phone: 805-928-4465