Healthcare Provider Details

I. General information

NPI: 1457388506
Provider Name (Legal Business Name): BARBARA ANN SIMMONS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR SUITE 121Q
BEVERLY MA
01915-6115
US

IV. Provider business mailing address

C/O ORTHOPAEDICS PLUS 101 CAMBRIDGE STREET
BURLINGTON MA
01803
US

V. Phone/Fax

Practice location:
  • Phone: 978-927-0907
  • Fax:
Mailing address:
  • Phone: 781-229-8011
  • Fax: 781-229-8374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number7515
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: