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NPI Code Detail

MEDICARE: TY J. SIMONS DPT

MEDICARE:   TY J. SIMONS  DPT
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
1225100000XPhysical TherapistPTL.0018710CO

General Provider Information

NPI Number : 1679295869
Entity Type Code : Individual
Provider Name (Legal Business Name) : TY J. SIMONS DPT
Provider Business Mailing Address
First Line : 4081 W 16TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80204-2065
Country : US
Telephone Number : 620-323-0069
Fax Number :
Provider Business Practice Location Address
First Line : 4081 W 16TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80204-2065
Country : US
Telephone Number : 620-323-0069
Fax Number : 720-615-0965
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 06/18/2025

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