MEDICARE: CHRISTOPHER J SIMMS PT

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
1	225100000X	Physical Therapist	24125	FL

General Provider Information

NPI Number	:	1114180668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J SIMMS PT

Provider Business Mailing Address
First Line	:	9517 CAVENDISH DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-5152
Country	:	US
Telephone Number	:	813-215-0084
Fax Number	:

Provider Business Practice Location Address
First Line	:	9517 CAVENDISH DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33626-5152
Country	:	US
Telephone Number	:	813-215-0084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2008
Last Update Date	:	02/11/2020

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