Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE SIMON
ActiveJAKE SIMON is a Physical Therapy Assistant healthcare provider located in NOTTINGHAM, New Hampshire. NPI 1871087551 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NOTTINGHAM, NH
Registration Details
- NPI Number
- 1871087551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2018 (8.1604077340311 yrs)
- Last Updated
- Sep 10, 2020
- Licenses
-
3253 (MA)25194 (MA)
Practice Information
- Address
-
22 BERRY RDNOTTINGHAM, NH, 032905402Browse NH providers · Browse ZIP 03290
- Phone
- 6179904929
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Athletic Trainer
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.