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General NPI Number Information
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NPI Number | 1619711447
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Entity Type | Individual
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Provider Name | MEGAN FAYE SIMMET DPT
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Gender | Female
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2457 GUM BRANCH RD STE 600700
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4008
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Country | US
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Telephone | 910-938-7555
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Fax |
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Provider Business Mailing Address
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Address Line | 1026 CHESTNUT ST
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City | ANDERSON
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State | IN
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Zip | 46012-4123
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Country | US
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Telephone | 765-622-5330
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05015582A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP031949T
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501303289
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | CP038593T
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License Number State | NC
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