MEDICARE: MR. MARK DOUGLAS SIMMONS 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	05002822A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05002822A	OTHER	IN	INDIANA PROFESSIONAL LICENSING AGENCY PHYSICAL THERAPY

General Provider Information

NPI Number	:	1316243439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK DOUGLAS SIMMONS PT

Provider Business Mailing Address
First Line	:	2560 N COUNTY ROAD 20 W
Second Line	:	CEDAR KNOLL FARMS
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-8202
Country	:	US
Telephone Number	:	812-801-1362
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 N COUNTY ROAD 20 W
Second Line	:
City	:	NORTH VERNON
State	:	IN
Zip	:	47265-8202
Country	:	US
Telephone Number	:	812-801-1362
Fax Number	:

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

Provider Enumeration Date	:	02/07/2011
Last Update Date	:	02/07/2011

Similar Medicare Providers

1033503750 — LAMMAS,LLC
Practice Location Address:

2560 N COUNTY ROAD 20 W
NORTH VERNON, IN
47265-8202

Practice Phone: 812-801-1362
Practice Fax: 888-768-6471

1285837468 — LOMA LINDA UNIVERSITY MEDICAL CENTER
Practice Location Address:

11750 MOUNT VERNON AVE # N251
GRAND TERRACE, CA
92313-8202

Practice Phone: 909-824-5156
Practice Fax:

1457339772 — DR. JOHN DANIEL GRIGAS MD
Practice Location Address:

800 PRUDENTIAL DR , 4TH FLOOR MAIN NORTH
JACKSONVILLE, FL
32207-8202

Practice Phone: 904-202-2963
Practice Fax: 904-202-4225

1790711935 — IONELA O HUBBARD LAC, DOM, IFMCP
Practice Location Address:

12341 NEWPORT AVE STE A200
NORTH TUSTIN, CA
92705-8202

Practice Phone: 949-726-0707
Practice Fax: 949-258-8726

1467468801 — DR. JERRY WAYNE LOVING .D.O.
Practice Location Address:

8202 LONE STAR RD
NORTH ZULCH, TX
77872-6144

Practice Phone: 936-399-4860
Practice Fax:

1336373869 — TINA WORKS
Practice Location Address:

716 ANTIQUE SILVER AVE
NORTH LAS VEGAS, NV
89032-8202

Practice Phone: 323-743-0168
Practice Fax:

Directions to “ MR. MARK DOUGLAS SIMMONS PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.